Chronic Papillomatous Ulcerative Pyoderma

Chronic papillomatous ulcerative pyoderma (pyoderma chancriforme papillatum) is chronic verrucous ulcerative plaque on extremities (usually lower leg), secondary to staph/strep, often in immunocompromised. Treatment: anti-staph/strep antibiotics (prolonged); wound care; dapsone; rule out blastomycosis/sporotrichosis/BCG/vegetating impetigo; biopsy; follow-up.

Common Symptoms

Chronic verrucous ulcerative plaque; lower leg; immunocompromised

Causes and Pathogenesis

Staph/strep chronic infection causes papillomatous ulceration.

Treatment

Prolonged antibiotics; wound care; dapsone; biopsy

Preventive Measures

Treat skin wounds; manage immunosuppression.

Department to Visit

It is recommended to visit the Dermatology/Infectious-disease department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.