title: Pyodermatitis vegetans after total colectomy.
abstract: Pyostomatitis-pyodermatitis vegetans (PPV) is a rare dermatological manifestation of inflammatory bowel disease, characterized by erythematous, vesiculopustular, exudative, annular, and/or vegetating plaques over the intertriginous regions that may precede or appear at the same time as the mucosal lesions. Systemic corticosteroids, dapsone, sulfasalazine, azathioprine, cyclosporine, and subtotal/total colectomy are the most common treatment options. A 16-year-old male patient presented to our outpatient clinic with a four months history of thickly crusted erosions on his trunk, back, and lower extremity. He had ulcerative colitis for four years and total colectomy was done seven months ago. Clinical and histopathological examination of his lesions were consistent with pyostomatitis vegetans. Although subtotal/total colectomy has been reported as a treatment option for PPV, lesions reappeared three months after total colectomy in our patient.
authors.affiliation: Department of Dermatology, Goztepe Research and Training Hospital, Istanbul Medeniyet University, Istanbul, Turkey.
authors.forename: Tuğba Kevser
authors.initials: TK
authors.lastname: Uzunçakmak
authors.affiliation: Department of Dermatology, Goztepe Research and Training Hospital, Istanbul Medeniyet University, Istanbul, Turkey.
authors.forename: Necmettin
authors.initials: N
authors.lastname: Akdeniz
authors.affiliation: Department of Dermatology, Goztepe Research and Training Hospital, Istanbul Medeniyet University, Istanbul, Turkey.
authors.forename: Ayşe Serap
authors.initials: AS
authors.lastname: Karadağ
authors.affiliation: Department of Pathology, Goztepe Research and Training Hospital, Istanbul Medeniyet University, Istanbul, Turkey.
authors.forename: Bengü
authors.initials: B
authors.lastname: Çobanoğlu
keywords: Inflammatory bowel disease; pyodermatitis–pyostomatitis vegetans; ulcerative colitis