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Vegetative pyoderma gangrenosum

MedGen UID:
1842944
Concept ID:
C5680158
Disease or Syndrome
Synonyms: Granulomatous pyoderma gangrenosum; vegetative pyoderma gangrenosum
 
Monarch Initiative: MONDO:0035238
Orphanet: ORPHA538872

Definition

A rare subtype of pyoderma gangrenosum disease characterized by a solitary, erythematous, ulcerated plaque, which lacks the violaceous border typically present in classic pyoderma gangrenosum, usually affecting individuals who are otherwise healthy. Histologically, the lesion presents a central layer containing neutrophilic inflamation, surrounded by a palisade of histiocytes, which are rimmed by a lymphocytic infiltrate. In comparison with the other variants of pyoderma gangrenosum, this subtype usually shows a good response to less aggressive treatments and underlying systemic disorders are less frequently associated. It is considered the most benign and uncommon clinical variant of pyoderma gangrenosum. [from ORDO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVVegetative pyoderma gangrenosum

Professional guidelines

PubMed

Janowska A, Oranges T, Fissi A, Davini G, Romanelli M, Dini V
Dermatol Ther 2020 May;33(3):e13412. Epub 2020 May 5 doi: 10.1111/dth.13412. PMID: 32291879
George C, Deroide F, Rustin M
Clin Med (Lond) 2019 May;19(3):224-228. doi: 10.7861/clinmedicine.19-3-224. PMID: 31092515Free PMC Article
Ahronowitz I, Harp J, Shinkai K
Am J Clin Dermatol 2012 Jun 1;13(3):191-211. doi: 10.2165/11595240-000000000-00000. PMID: 22356259

Recent clinical studies

Diagnosis

Shavit E, Cecchini M, Limacher JJ, Walsh S, Wentworth A, Davis MDP, Alavi A
J Cutan Med Surg 2021 Jul-Aug;25(4):371-376. Epub 2021 Feb 5 doi: 10.1177/1203475420988864. PMID: 33541119
Langan SM, Powell FC
Int J Dermatol 2005 Aug;44(8):623-9. doi: 10.1111/j.1365-4632.2005.02591.x. PMID: 16101860
Peretz E, Cagnano E, Grunwald MH, Hallel-Halevy D, Halevy S
Int J Dermatol 1999 Sep;38(9):703-6. doi: 10.1046/j.1365-4362.1999.00752.x. PMID: 10517690

Therapy

Murata J, Sato-Matsumura KC, Nishie W, Mayuzumi M, Kozaki S, Ohnishi K, Shibaki H
Clin Exp Dermatol 2006 Jan;31(1):74-6. doi: 10.1111/j.1365-2230.2005.01990.x. PMID: 16309489
Langan SM, Powell FC
Int J Dermatol 2005 Aug;44(8):623-9. doi: 10.1111/j.1365-4632.2005.02591.x. PMID: 16101860
Goto M, Okamoto O, Fujiwara S, Yanagi T, Komada S, Yokoyama S, Takayasu S
Br J Dermatol 2002 Jan;146(1):141-3. doi: 10.1046/j.1365-2133.2001.04510.x. PMID: 11841382

Prognosis

Kim RH, Lewin J, Hale CS, Meehan SA, Stein J, Ramachandran S
Dermatol Online J 2014 Dec 16;20(12) PMID: 25526339

Clinical prediction guides

Goto M, Okamoto O, Fujiwara S, Yanagi T, Komada S, Yokoyama S, Takayasu S
Br J Dermatol 2002 Jan;146(1):141-3. doi: 10.1046/j.1365-2133.2001.04510.x. PMID: 11841382

Supplemental Content

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