Pyoderma Gangrenosum at Uncommon Site in a Pediatric Patient: Case Report and Review of Literature
Z. Mehsas *
Department of Dermatology and Venereology, Faculty of Medicine and Pharmacy of Rabat, Ibn Sina University Hospital, Mohamed V University, Rabat, Morocco.
S. Sektaoui
Department of Dermatology and Venereology, Faculty of Medicine and Pharmacy of Rabat, Ibn Sina University Hospital, Mohamed V University, Rabat, Morocco.
B. Boubnane
Department of Dermatology and Venereology, Faculty of Medicine and Pharmacy of Rabat, Ibn Sina University Hospital, Mohamed V University, Rabat, Morocco.
M. Meziane
Department of Dermatology and Venereology, Faculty of Medicine and Pharmacy of Rabat, Ibn Sina University Hospital, Mohamed V University, Rabat, Morocco.
N. Ismaili
Department of Dermatology and Venereology, Faculty of Medicine and Pharmacy of Rabat, Ibn Sina University Hospital, Mohamed V University, Rabat, Morocco.
L. Benzekri
Department of Dermatology and Venereology, Faculty of Medicine and Pharmacy of Rabat, Ibn Sina University Hospital, Mohamed V University, Rabat, Morocco.
K. Senouci
Department of Dermatology and Venereology, Faculty of Medicine and Pharmacy of Rabat, Ibn Sina University Hospital, Mohamed V University, Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
A 12-year-old girl presented with three ulcerated lesions on her face that were red, swollen, had advancing borders, and undermined. Despite treatment with intravenous and topical antibiotics, the ulcers did not improve, and cultures showed no growth of organisms. The patient did not have any underlying systemic disease, and a skin biopsy revealed neutrophilic dermatitis. Oral prednisone was started, which resulted in the healing of the lesions. The skin biopsy and positive response to corticosteroids confirmed the diagnosis of Pyoderma Gangrenosum (PG). PG is a rare inflammatory skin condition, and facial lesions are a rare presentation. Early initiation of immunosuppressive therapy is crucial for complete healing and to minimize the significant psychological impact.
Keywords: Face, pediatric, pyoderma gangrenosum