Pyoderma Gangrenosum at Uncommon Site in a Pediatric Patient: Case Report and Review of Literature

Abstract

A 12-year-old girl presented with three ulcerated lesions on her face that were red, swollen, had advancing borders, and undermined. Despite treatment with intravenous and topical antibiotics, the ulcers did not improve, and cultures showed no growth of organisms. The patient did not have any underlying systemic disease, and a skin biopsy revealed neutrophilic dermatitis. Oral prednisone was started, which resulted in the healing of the lesions. The skin biopsy and positive response to corticosteroids confirmed the diagnosis of Pyoderma Gangrenosum (PG). PG is a rare inflammatory skin condition, and facial lesions are a rare presentation. Early initiation of immunosuppressive therapy is crucial for complete healing and to minimize the significant psychological impact.