Pub forms pyoderma

Last Updated: 2019-08-27

Author(s): -

Covisa und Berjarano 1927.

Pyodermia chancriformis.

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

  • Sharply defined, partly necrotic ulcer, often with undermined margins. Local-regional, painful lymphadenitis.  

  • Clinic.
  • Laboratory (Blood count, zinc level, protein electrophoresis, TPHA), bacterial smear.
  • Nasal or throat swab, if necessary.
  • Beard, especially the lower lip area, cheeks, eyes, eyelashes, buttocks or genital. 

Nonspecific, ulcer with granulocytes and epidermal hyperplasia at the edge. 

Systemic Therapy 

  • Antibiosis after antibiogram.

 

Topical Therapy 

  • Quaternary ammonium compounds (Octenisept®)
  • App. 1-2x daily (only for a short time)

 

  • Clindamycin (Dalacin T)®- emulsion and solution 2x a day 
  • Always use Procutol® skin wash lotion once a day to avoid resistance.
  • Side effects (very common): skin irritations (burning, itching, flaking, dry skin and redness).
  • Contra Indication: Antibiotic-associated colitis. Breastfeeding.
  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.