ATYPICAL BULLOUS PYODERMA GANGRENOSUM WITH EARLY LESIONS MIMICKING CHICKEN POX
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2013, Vol 2, Issue 41
Abstract
Pyoderma Gangrenosum (PG) rare neutrophilic dermatoses (1/100,000), of which Bullous Pyoderma gangrenosum is an atypical form, which is very rare. Bullous PG is usually associated with haematological disorders like myeloproliferative disorders, haematological malignancies specially AML and several other haematological disorders. It presents as a superficial haemorrhagic bulla which ulcerates, ulcers increase in size and heal with scarring. Treatment is mainly to identify and treat the cause. Pyoderma Gangrenosum shows rapid response to oral corticosteroid therapy.1, 3. Clinical presentation: A 32yr old female presented with fever, multiple vesicles on face, upper limb, lower limb and trunk, and these early lesions looked like chicken pox lesions. Lesions increased in size to form haemorrhagic bullas which eroded to form ulcers, ulcers rapidly increased in size with necrotic base and erythematous to violaceous border. Investigation: Haemoglobin: 5.7gm%, Peripheral smear: normocytic and normochromic anaemia. Skin Biopsy: Sub corneal blisters with dermal and perifollicular neutrophilic infiltrate. A diagnosis of Bullous Pyoderma gangrenosum was made. Patient’s anaemia was treated; oral prednisolone and topical steroids were started. Patient showed marked improvement to treatment.
Authors and Affiliations
Ramesh M, Kavya Nayak, Gopal M. G, Sharath Kumar, Nandini A. S
Keywords
Related Articles
- EP ID EP164182
- DOI 10.14260/jemds/1408
- Views 90
- Downloads 0
STRONGYLOIDES STERCORALIS INFESTATION IN AN IMMUNOCOMPETENT HOST- A CASE REPORT
PRESENTATION OF CASE A 59-year-old agriculturist with recent venture into poultry farming presented with history of post-prandial vomiting, gastric upset, loss of appetite and weight loss of 20 days duration. Investigati...
A COMPARATIVE STUDY OF MISOPROSTOL VERSUS SURGICAL MANAGEMENT OF INCOMPLETE AND MISSED ABORTION IN EARLY FIRST TRIMESTER
BACKGROUND Safe and effective treatment for incomplete abortion is an important way to reduce abortion related morbidity and mortality. Medical methods for treatment of incomplete abortion require few resources, are cost...
A COMPARATIVE STUDY OF INFUSION DEXMEDETOMIDINE AND INFUSION MAGNESIUM SULPHATE ON ATTENUATION OF BLOOD PRESSURE SURGE IN LAPAROSCOPIC SURGERY UNDER GENERAL ANAESTHESIA
BACKGROUND The haemodynamic surge in laparoscopic surgery following carbon dioxide insufflations can be attenuated by various drugs. Dexmedetomidine, a selective-alpha-agonist depresses central sympathetic outflow produc...
A COMPARATIVE STUDY OF OVERLAY AND UNDERLAY MYRINGOPLASTY CONSIDERING CLOSURE OF PERFORATION AND HEARING RESULTS: OUR EXPERIENCE
BACKGROUND Myringoplasty is an established procedure for closure of tympanic membrane perforations. The quest is on to improve the results further by studying various technique. METHODS In the present randomiz...
METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS, EXTENDED SPECTRUM BETALACTAMASE AND METALLOBETALACTAMASE PRODUCTION AMONG ORGANISMS CAUSING SURGICAL SITE INFECTIONS AT A TERTIARY CARE HOSPITAL IN BANGALORE
BACKGROUND Infection at or near surgical incisions within 30 days of an operative procedure, or within 1 year of an operation if a foreign body is implanted as part of the surgery is defined as a surgical site infection...