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Superficial granulomatous pyoderma of the face: a case report and review of the literature.
MedLine Citation:
PMID:  23308303     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Introduction: Superficial granulomatous pyoderma (SGP) is a rare variant of pyoderma gangrenosum (PG) and differs from classic PG in its indolent clinical course, lack of associated underlying disease, the finding of a granulomatous infiltrate on histology, and better prognosis with less-aggressive therapies. Methods: We report on a case of SGP involving the face following local reexcision of a biopsy scar. Results: The patient developed an indolent ulceration following an excision of an unfavorable scar on her face. Discussion: Superficial granulomatous pyoderma is usually responsive to conservative treatment with antibacterial or local anti-inflammatory agents. Facial involvement with SGP is particularly rare and tends to be more refractory to conservative management. Superficial granulomatous pyoderma involving the face appears to respond better to intensive treatment with systemic corticosteroids or immunosuppressants. To prevent poor cosmetic and functional outcomes in patients with nonhealing lesions, it is important for surgeons to recognize the clinical and histopathologic presentation of SGP and consider initiating a more aggressive management approach for SGP involving the face.
Authors:
Sarah M Persing; Donald Laub
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Publication Detail:
Type:  Journal Article     Date:  2012-12-10
Journal Detail:
Title:  Eplasty     Volume:  12     ISSN:  1937-5719     ISO Abbreviation:  Eplasty     Publication Date:  2012  
Date Detail:
Created Date:  2013-01-11     Completed Date:  2013-01-14     Revised Date:  2013-04-18    
Medline Journal Info:
Nlm Unique ID:  101316107     Medline TA:  Eplasty     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e56     Citation Subset:  -    
Affiliation:
University of Vermont College of Medicine, Burlington.
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