Malignant Pyoderma or Pyoderma Gangrenosum of the Head and Neck?

Wernikoff, Stuart Y.

doi:10.1001/archderm.1987.01660270109026

Cited by 38 publications

(12 citation statements)

References 14 publications

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“…8). This latter term is best not used as a specific diagnostic entity because many of these patients were found to have WG or other vasculitic or inflammatory and neoplastic conditions 65–73 . Ulceration over the temple may resemble cranial arteritis, requiring careful clinicopathologic correlation and ANCA testing to confirm WG 74…”

Section: Differential Diagnosis Of Cutaneous Manifestations Of Wegenementioning

confidence: 99%

Clinical utility of ANCA tests for the dermatologist

2003

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Section: Differential Diagnosis Of Cutaneous Manifestations Of Wegenementioning

confidence: 99%

Clinical utility of ANCA tests for the dermatologist

2003

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“…The head and neck are rarely affected, but when they are pyoderma gangrenosum may be reported as malignant pyoderma; the two diseases are now thought to be synonymous 1 4 5…”

Section: Discussionmentioning

confidence: 99%

Lesson of the week: Early diagnosis of pyoderma gangrenosum is important to prevent disfigurement

Harris

Regan

Burge³

1998

BMJ

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“…Other anti-neutrophilic-based medications such as dapsone and colchicine have been tried with some success. 20 Immunosuppressive therapy with cyclosporin has shown the most promise in the management of PG.…”

Section: Goldfrank Et Al • Ed Categorization Standardsmentioning

confidence: 99%

Clinical Pearls: Ulcers on the Fingers

Manthey

Schissel

1999

Academic Emergency Medicine

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Chief Complaint. Ulcers on the thumb and index finger. History of Present Illness.A 68-year-old woman presents to the ED for evaluation of ulcers on her left thumb and right index finger that appeared after minor trauma. The lesions began as tender erythematous nodules, which progressed and coalesced to pustules. The pustules gradually became more erythematous and began to ulcerate. A dusky hue developed around the margins of the ulcers. This process occurred over a ten-day period.The patient states she had a similar ulcerative process on the buttock and upper thigh region. Treatment at that time included surgical resection of the lesions, which resulted in spreading of the lesions. Subsequently, she was evaluated by a dermatologist and started on oral corticosteroids. The ulcerations slowly resolved, leaving her with large hypertrophic reticulated scars.She denies chemical exposure or arthropod envenomation. She denies diarrhea, bloody stool, fevers, headaches, and joint pain.Physical Examination. The patient's physical examination is normal except for the hands, which reveal 2.7-cm ulcerated lesions on the left thumb ( Fig. 1) and a 1.7-cm lesion on the distal aspect of the right index finger (Fig. 2) Laboratory Studies. The patient has a normal white blood cell count and a normal erythrocyte sedimentation rate.(The diagnosis and discussion appear on page 655.)

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Malignant Pyoderma or Pyoderma Gangrenosum of the Head and Neck?

Cited by 38 publications

References 14 publications

Clinical utility of ANCA tests for the dermatologist

Clinical utility of ANCA tests for the dermatologist

Lesson of the week: Early diagnosis of pyoderma gangrenosum is important to prevent disfigurement

Clinical Pearls: Ulcers on the Fingers

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