Painful Facial Ulceration

  • Dario Didona
  • Biagio Didona


  • Pediatric pyoderma gangrenosum accounts for 4% of all cases

  • A punch biopsy should be performed to rule out other skin diseases associated with painful chronic ulceration

  • Systemic steroids and local wound care are the first line approach in treatment of pyoderma gangrenosum


Pyoderma gangrenosum Skin punch biopsy Inflammatory bowel disease 


  1. 1.
    Kechichian E, Haber R, Mourad N, Khoury RE, Jabbour S, Tomb R. Pediatric pyoderma gangrenosum: a systematic review and update. Int J Dermatol. 2017;56:486–95.CrossRefGoogle Scholar
  2. 2.
    McAlee M, Powell F, Devaney D, O’Donnell B. Infantile pyoderma gangrenosum. J Am Acad Dermatol. 2008;58(2 Suppl):S23–8.CrossRefGoogle Scholar
  3. 3.
    Ruocco E, Sangiuliano S, Gravina A, Miranda A, Nicoletti G. Pyoderma gangrenosum: an updated review. J Eur Acad Dermatol Venereol. 2009;23:1008–17.CrossRefGoogle Scholar
  4. 4.
    Schoch J, Tolkachjov S, Cappel J, Gibson L, Davis D. Pediatric pyoderma gangrenosum: a retrospective review of clinical features, etiologic associations, and treatment. Pediatr Dermatol. 2017;34:39–45.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Dario Didona
    • 1
  • Biagio Didona
    • 2
  1. 1.Department of Dermatology and AllergologyPhilipps UniversityMarburgGermany
  2. 2.First Division of DermatologyIstituto Dermopatico dell’Immacolata-IRCCSRomeItaly

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