title: Pyoderma vegetans developed on chronic leg ulcer.
abstract: Pyoderma vegetans is a rare disorder that more commonly affects middle-aged persons, with a male predilection. It is characterized by vegetating lesions that coalescence into a plaque with eroded surface, covered by purulent discharge and crusts. The etiology of this disease is not known with certainty, but it is often associated with bacterial infections in immunocompromised patients. We report the case of a 73-year-old men who presented to the Iasi Dermatology Clinic with a large, irregular, relatively well-defined dermohypodermic ulcer, with infiltrated sclerosing borders, accompanied by pain, with the floor covered in the Northern part by a proliferative, vegetative bleeding area, and the rest by a yellowish secretion and cellular debris, located on the left leg. Bacteriological examination of ulcer secretion identified Pseudomonas aeruginosa. Anatomopathological examination confirmed the development of Pyoderma vegetans on chronic leg ulcer. Under specific treatment for chronic leg ulcer and eradication of infectious focus the outcome was favorable both in terms of trophic ulcer scar- ring and Pyoderma vegetans healing.
authors.forename: Andreea Dana
authors.initials: AD
authors.lastname: Molodoi
authors.forename: Andreea
authors.initials: A
authors.lastname: Dimitriu
authors.forename: Cătălina Diana
authors.initials: CD
authors.lastname: Andronic
authors.forename: Gabriela
authors.initials: G
authors.lastname: Stoleriu
authors.forename: Aida
authors.initials: A
authors.lastname: Bădescu
authors.forename: D
authors.initials: D
authors.lastname: Boda
authors.forename: Daciana Elena
authors.initials: DE
authors.lastname: Brănisteanu
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002908:Chronic Disease; D003646:Debridement / Q000379:methods; D006801:Humans; D007871:Leg Ulcer / Q000150:complications*; D008297:Male; D011552:Pseudomonas Infections / Q000150:complications*; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D011711:Pyoderma / Q000150:complications / Q000382:microbiology* / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents