Superficial Granulomatous Pyoderma of the Face

Authors

  • Kalliopi Skrepetou
  • Styliani Tsoukala
  • Nikolaos Z Nikolaou

DOI:

https://doi.org/10.2015/hc.v6i3.256

Keywords:

superficial granulomatous pyoderma, skin ulcer, cyclosporin, prednizolone

Abstract

A 37 year-old male presented with a 5-year history of recurrent erythematosus, demarcated plaques of the right malar region that underwent progressive suppuration. The lesions evolved into a superficial ulcer with atrophic scarring. Despite treatment with numerous antibiotics, the lesions did not improve. Skin biopsy revealed a non-specific granulomatous folliculocentric reaction. Specific stains and tissue cultures were negative for infectious agents. An exclusion diagnosis of superficial granulomatous pyoderma was made and the patient was treated with use of cyclosporine combined with prednisolone with good response; the lesion healed within 3 months.

Author Biographies

Kalliopi Skrepetou

DERMATOLOGIST-VENEREOLOGIST

DERMATOLOGY-VENEREOLOGY DEPARTMENT

GENERAL HOSPITAL <<EVAGELISMOS>>

ATHENS-GREECE

Styliani Tsoukala

DERMATOLOGIST-VENEREOLOGIST

DERMATOLOGY-VENEREOLOGY DEPARTMENT

GENERAL HOSPITAL <<EVAGELISMOS>>

ATHENS-GREECE

Nikolaos Z Nikolaou

DERMATOLOGIST-VENEREOLOGIST

SCIENTIFIC CONSULTANT

DERMATOLOGY-VENEREOLOGY DEPARTMENT

GENERAL HOSPITAL <<EVAGELISMOS>>

ATHENS-GREECE

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Published

2011-05-02

Issue

Section

Images in Medicine