Cutaneous Wegener's granulomatosis (malignant pyoderma) in a patient with Crohn's disease.
We report a case of an unusual presentation of Wegener's granulomatosis (WG) in a patient with Crohn's disease (CD). She presented to our Wound Care Center with 7th cranial nerve palsy and facial pyoderma-like ulcerations. Although WG has a predilection for the lung, kidney, and eyes, cutaneous involvement can be seen in 50% of the cases, and it can be the presenting sign in 9-14%. Because of the lethality of WG if not properly treated, the diagnosis is imperative.
Jacob
Sharon E
SE
Department of Dermatology and Cutaneous Surgery, University of Miami School of Medicine, Miami, FL, USA.
Martin
Lucy K
LK
Kerdel
Francisco A
FA
D000368:Aged; D003424:Crohn Disease / Q000150:complications* / Q000473:pathology / Q000628:therapy; D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000150:complications* / Q000473:pathology / Q000628:therapy; D006801:Humans; D011711:Pyoderma / Q000209:etiology / Q000473:pathology / Q000628:therapy