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Disfiguring facial pyoderma vegetans with an excellent outcome
  1. James Keitley1,
  2. Liezel Griffin1,2,
  3. Luisa Motta2,
  4. Janice Ferguson2,
  5. Helen Young1,2
  1. 1Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK
  2. 2Department of Dermatology, Salford Royal NHS Foundation Trust, Salford, UK
  1. Correspondence to Dr Helen Young, helen.s.young{at}


We describe a case of disfiguring facial pyoderma vegetans in order to highlight the challenges in managing this rare skin condition and review the literature.

A 54-year-old woman presented to dermatology clinic with a 3-month history of a left-sided facial lesion, which had been treated as an infected sebaceous cyst. The lesion had dramatically increased in size in the weeks prior to presentation. There was a history of Crohn’s disease and ileal adenocarcinoma, both of which were in remission. A clinical diagnosis of pyoderma vegetans was made and the patient responded well to immunosuppressive therapy with oral ciclosporin. Carbon dioxide (CO2) laser resurfacing to residual scarring contributed to an excellent cosmetic result.

  • Dermatology
  • Contraindications And Precautions
  • Malignant Disease And Immunosuppression
  • Skin
  • Medical Management
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  • Handling editor Seema Biswas

  • Contributors JK, LG, LM, JF and HY designed, wrote and approved the manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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