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Pediatric facial pyoderma gangrenosum preceding the diagnosis of inflammatory bowel disease
Authors:Hilary Haimes MD  Kristen Corey MD  Arash Mostaghimi MD  MPA   MPH  Birgitta Schmidt MD  Stephen E. Gellis MD  Marilyn G. Liang MD
Affiliation:1. Department of Medicine, Boston Children’s Hospital, Boston, Massachusetts;2. Department of Dermatology, Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts;3. Department of Dermatology, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts;4. Department of Pathology, Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts
Abstract:We describe two adolescent patients with pyoderma gangrenosum (PG) involving the face. Subsequent gastrointestinal evaluation revealed microscopic bowel inflammation suggestive of inflammatory bowel disease. While PG is rarely localized to the face, this brief report reveals two cases of pediatric facial PG and suggests a correlation between facial PG and microscopic colitis.
Keywords:inflammatory disorders  skin signs of systemic disease
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