Journal of Clinical and Investigative Dermatology

Case Report

Pyodermatitis-Pyostomatitis Vegetans: A Cutaneous Clue for Crohn’s Disease

Tallman R1*, Beatty C1, Ghareeb E1, Gayam S2 and Zinn Z2

1Department of Dermatology, West Virginia University Medicine, USA
2Department of Gastroenterology and Hepatology, West Virginia University Medicine, USA
*Address for Correspondence: Tallman R, Department of Dermatology, West Virginia University Medicine, Morgantown, Medical Center Drive, HSC P.O. Box 9158, Morgantown, WV 26506-9158, Fax: 304-293-8055, Tel: 855-988-273; Email: rmtallman@mix. wvu.edu
Submission: 30 July, 2021; Accepted: 06 September, 2021; Published: 10 September, 2021
Copyright: © 2021 Tallman R, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pyodermatitis-pyostomatitis vegetans is a neutrophilic dermatosis that is classically associated with inflammatory bowel disease. It is rare with less than 40 cases reported in the literature within the last 10 years. We discuss the case of a 30-year-old male who presented with pyodermatitis-pyostomatitis vegetans and previously undiagnosed Crohn’s disease. We aim to emphasize the importance of prompt recognition of pyodermatitis-pyostomatitis vegetans order to commence a thorough investigation of underlying inflammatory bowel disease, and initiate appropriate therapy. Because no standardized treatment regimens have been established, we also describe the variability in treatment responses seen with pyodermatitis-pyostomatitis vegetans with a review of the literature.