Superficial granulomatous pyoderma treated preoperatively with infliximab

Authors: Akhras, V.; Sarkany, R.1; Walsh, S.2; Hyde, N.2; Marsden, R. A.

Source: Clinical & Experimental Dermatology, Volume 34, Number 5, July 2009 , pp. e183-e185(1)

Publisher: Blackwell Publishing

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Abstract:

Summary

We report a case of superficial granulomatous pyoderma (SGP) treated successfully with infliximab. A 71-year-old woman developed erythema, erosions and cribriform scarring in the right periorbital area following enucleation of the right eye. Histology showed three-layered granulomas typical of SGP. The patient's disease was unusual in that it failed to respond to a wide variety of immunosuppressants and this condition is rarely reported to affect the face. Eventually she was treated successfully with infliximab, enabling her to undergo extensive surgery despite the fact that her disease was pathergic in onset.

Document Type: Research article

DOI: 10.1111/j.1365-2230.2008.03018.x

Affiliations: 1: St John's Institute of Dermatology, Guy's and St Thomas' Hospital, London, UK 2: Maxillofacial Surgery, St George's Hospital, London

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