Pyodermatitis-pyostomatitis vegetans: Report of a case and review of the literature

Pyodermatitis-pyostomatitis vegetans is a benign, rare disorder characterized by a pustular eruption in the oral mucosa and vegetating plaques involving the groin and axillary folds. Its association with inflammatory bowel disease is well established. We report the case of a 49-year-old-white man wi...

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Published in:Oral surgery, oral medicine, oral pathology, oral radiology and endodontics oral medicine, oral pathology, oral radiology and endodontics, 1999-03, Vol.87 (3), p.322-326
Main Authors: SORIANO, M. L, MARTINEZ, N, GRILLI, R, FARINA, M. C, MARTIN, L, REQUENA, L
Format: Article
Language:English
Subjects:
Anti-Inflammatory Agents - therapeutic use
Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
Biological and medical sciences
Carboxymethylcellulose Sodium - analogs & derivatives
Carboxymethylcellulose Sodium - therapeutic use
Clobetasol - analogs & derivatives
Clobetasol - therapeutic use
Colitis, Ulcerative - complications
Dentistry
Diagnosis, Differential
Fluorescent Antibody Technique
Humans
Male
Medical sciences
Mesalamine - therapeutic use
Middle Aged
Mouth Mucosa - pathology
Non tumoral diseases
Otorhinolaryngology. Stomatology
Pemphigus - diagnosis
Pyoderma - diagnosis
Pyoderma - drug therapy
Pyoderma - etiology
Stomatitis - diagnosis
Stomatitis - drug therapy
Stomatitis - etiology
Suppuration
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
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Summary:Pyodermatitis-pyostomatitis vegetans is a benign, rare disorder characterized by a pustular eruption in the oral mucosa and vegetating plaques involving the groin and axillary folds. Its association with inflammatory bowel disease is well established. We report the case of a 49-year-old-white man with ulcerative colitis who manifested a vegetating, annular plaque in the left inguinal region of 2 months' duration. Oral examination disclosed an erythematous mucosa with multiple painful pustules involving the labial and gingival mucosa. Histopathologic study demonstrated epidermal hyperplasia and an inflammatory infiltrate composed mostly of neutrophils and eosinophils, grouped into microabscesses within the epidermis and with a bandlike configuration in the upper dermis. Results of direct and indirect immunofluorescence studies were negative. We discuss the differential diagnosis between pyodermatitis-pyostomatitis vegetans and pemphigus vegetans.
ISSN:1079-2104
1528-395X
DOI:10.1016/S1079-2104(99)70216-7