Hostname: page-component-848d4c4894-8bljj Total loading time: 0 Render date: 2024-07-02T02:00:05.505Z Has data issue: false hasContentIssue false
  • English
  • Français

Pyoderma gangrenosum producing saddle nose deformity

Published online by Cambridge University Press:  29 June 2007

George A. Worley ,
Michael J. Wareing  and
Robert J. Sergeant
George A. Worley*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Kent and Sussex Weald NHS Trust, Kent and Sussex Hospital, Tunbridge Wells, Kent, UK.
Michael J. Wareing
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Kent and Sussex Weald NHS Trust, Kent and Sussex Hospital, Tunbridge Wells, Kent, UK.
Robert J. Sergeant
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Kent and Sussex Weald NHS Trust, Kent and Sussex Hospital, Tunbridge Wells, Kent, UK.
*
Address for correspondence: Mr George A. Worley, F.R.C.S., 43 St Peter's Lane, Canterbury, Kent CT1 3NG.
Get access Rights & Permissions [Opens in a new window]

Abstract

Pyoderma gangrenosum affecting the nose is rare and this may lead to diagnostic confusion because of the large differential diagnosis. As diagnosis is made, largely, on the basis of exclusion the treatment of pyoderma gangrenosum may be unduly delayed. The condition is often disfiguring, particularly following inappropriate surgical intervention, and early diagnosis is therefore important.

We present a case of pyoderma gangrenosum managed initially in the community with minor surgery and resulting in the rare complication of saddle nose deformity.

Keywords

Pyoderma, gangrenosumNose deformities, acquiredColitis, ulcerative
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 9 , September 1998 , pp. 870 - 871
Copyright
Copyright © JLO (1984) Limited 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Chow, R. K. P., Ho, V. C. (1996) Treatment of pyoderma gangrenosum. Journal of the American Academy of Dermatology 34: 1047–1060.CrossRefGoogle ScholarPubMed
Fowler, J. F., Callen, J. P. (1983) Pyoderma gangrenosum. Dermatologic Clinics 1: 615–622.CrossRefGoogle Scholar
Hickman, J. G., Lazarus, G. S. (1980) Pyoderma gang-renosum: a reappraisal of associated systemic diseases. British Journal of Dermatology 102: 235–237.CrossRefGoogle ScholarPubMed
Holt, P. J. A., Davies, M. G., Saunders, K. C. (1980) Pyoderma gangrenosum clinical and laboratory findings in 15 patients with special reference to polyarthritis. Medicine 59: 114–133.CrossRefGoogle ScholarPubMed
Kramer, N., Berman, E. L., Rosenstein, E. D. (1990) Pyoderma gangrenosum complicating Felty's syndrome. Journal of Rheumatology 17: 1079–1082.Google ScholarPubMed
Prystowsky, J. H., Kahn, S. N., Lazarus, G. S. (1989) Present status of pyoderma gangrenosum: review of 21 cases. Archives of Dermatology 125: 57–64.CrossRefGoogle ScholarPubMed
Snyder, R. A. (1986) Pyoderma gangrenosum involving the head and neck. Archives of Dermatology 122: 295–302.Google Scholar
Su, W. P. D., Schroeter, H. O., Perry, H. O., Powell, F. C. (1986) Histopathologic and immunopathologic study of pyoderma gangrenosum. Journal of Cutaneous Pathology 13: 323–330.Google Scholar
White, J. W. (1985) Hypersensitivity and miscellaneous inflammatory disorders. In Dermatology. 2nd Edition. (Moschella, S. L., ed.), W.B. Saunders Co., Philadelphia, pp 464–498.Google Scholar