Chancroid pyoderma

Covisa and Berjarano, 1927.

Pyodermia chancriformis.

The pathogens are mainly staphylococci. Possibly associated with immunoglobulin or zinc deficiency.

• Sharp, partly necrotic ulcer, often with undermined margins. Locoregional, painful lymphadenitis.

• Clinic
• Lab (BB, zinc level, protein electrophoresis, TPHA), bact. smear
• Nasal or throat swab, if necessary

• Beard, especially the lower lip area, cheeks, eyes, eyelashes, buttocks or genital

Unspecific, ulcer with granulocytes and marginal epidermal hyperplasia.

Systemic therapy

• Antibiosis according to antibiogram

Topical therapy

• Quaternary ammonium compounds
  • Application 1-2x daily (only for a short time)

• Clindamycin emulsion and solution 2x tgl
  • To avoid resistance, always prescribe together with Triclosan skin wash lotion 1x daily
  • NWN (very common): skin irritation (burning, itching, scaling, dry skin and redness)
  • KI: antibiotic-associated colitis, lactation

1. Frain-Bell W. Pyodermia chancriformis faciei. Br J Dermatol 1957;69:19-24.
2. Caresana G, Rosso R. Pyodermia chancriformis: an unusual presentation of lymphomatoid papulosis. J Eur Acad Dermatol Venereol 1998;11:88-9.
3. Steppert A. [Pyodermia chancriformis]. Dermatol Wochenschr 1966;152:1449-52.
4. Boulton JE, Chesterton JR, McGibbon DH. Symmetrical lymphomatoid papulosis masquerading as pyoderma chancriformis of the eyelids. Br J Ophthalmol 1995;79:391-2.