Superficial granulomatous pyoderma with IgA monoclonal gammopathy: A case report.

Authors

  • Piyarat Thannipat Department of Dermatology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok
  • Penvadee Pattanaprichakul Department of Dermatology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok
  • Sukhum Jiamton Department of Dermatology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok

Keywords:

IgA monoclonal gammopathy, superficial granulomatous pyoderma, vegetative pyoderma gangrenosum

Abstract

Superficial granulomatous pyoderma (SGP), also known as vegetative pyoderma gangrenosum, is a rare variant of pyoderma gangrenosum (PG), which is commonly characterized by well-defined erythematous or violaceous, clean-base ulcer with superficial vegetative plaque at border, predominantly located on the trunk. Diagnosis is mostly confirmed by clinical and histopathological findings while exclusion of the other cutaneous conditions such as infection, autoimmune disease, cutaneous malignancy and cutaneous metastasis should be considered. SGP is not usually related to systemic conditions and it tends to response well to less aggressive treatment as compared to the other variants of PG. We present an unusual case of a male patient with a 3-year history of SGP on several sites of the body with subsequent diagnosis of IgA monoclonal gammopathy.

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Published

2017-09-01

How to Cite

Thannipat, P., Pattanaprichakul, P., & Jiamton, S. (2017). Superficial granulomatous pyoderma with IgA monoclonal gammopathy: A case report. Thai Journal of Dermatology, 33(3), 231–238. Retrieved from https://he02.tci-thaijo.org/index.php/TJD/article/view/159074