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Case Reports
. 2015 Jan-Jun;36(1):67-9.
doi: 10.4103/0253-7184.156732.

Granulomatous pyoderma gangrenosum of the genitalia in the absence of Crohn's disease

Srinath M Kambil  1 , Ramesh M Bhat  1 , Sukumar Dandekeri  1
Affiliations
Case Reports

Granulomatous pyoderma gangrenosum of the genitalia in the absence of Crohn's disease

Srinath M Kambil et al. Indian J Sex Transm Dis AIDS. 2015 Jan-Jun.

Abstract

Pyoderma gangrenosum (PG) is a rare ulcerative neutrophilic disorder of the skin. Atypical variants of PG such as vegetative PG, bullous PG, and pustular forms are described in literature. Occasionally, granulomatous reaction in dermis may be seen on histology when PG is associated with Crohn's disease or in the vegetative variant of PG. We report a case of granulomatous PG involving the genitalia in a 43-year-old female without associated inflammatory bowel disease.

Keywords: Crohn's disease; pyoderma gangrenosum; vegetative PG.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
A single ulcer of 3 cm × 4 cm size with hyperpigmented irregular margins and slightly undermined nonindurated edges on the mons pubis extending to the upper part of vulva
Figure 2
Figure 2
Indurated plaque of 1 cm × 2 cm at the site of venepuncture suggestive of pathergy phenomenon
Figure 3
Figure 3
(a and b) Dense inflammatory infiltrate in dermis consisting of neutrophils, lymphocytes, plasma cells, and giant cells
Figure 4
Figure 4
Healed ulcer at 1 month follow-up
See this image and copyright information in PMC

References

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