Cutaneous Wegener's granulomatosis (malignant pyoderma) in a patient with Crohn's disease

✍ Scribed by Sharon E. Jacob; Lucy K. Martin; Francisco A. Kerdel

• Publisher: John Wiley and Sons
• Year: 2003
• Tongue: English
• Weight: 304 KB
• Volume: 42
• Category: Article
• ISSN: 0011-9059
• DOI: 10.1046/j.1365-4362.2003.01919.x

✦ Synopsis

We report a case of an unusual presentation of Wegener's granulomatosis (WG) in a patient with Crohn's disease (CD). She presented to our Wound Care Center with 7th cranial nerve palsy and facial pyoderma‐like ulcerations. Although WG has a predilection for the lung, kidney, and eyes, cutaneous involvement can be seen in 50% of the cases, and it can be the presenting sign in 9–14%. Because of the lethality of WG if not properly treated, the diagnosis is imperative.