THE ORIGIN1 of so-called pyoderma vegetans is believed to be a preexisting chronic dermatosis later becoming secondarily infected with Staphylococcus. Treatment usually consists in the application of local antiseptic wet dressings and more recently the use of sulfonamides and antibiotics systemically. The following case report is that of an unusually extensive and severe pyodermatitis vegetans in which the predominating organism was found to be Borrelia refringens. The course of this condition was progressive despite the intensive use of local antiseptics and antibiotics systemically, and not until local destruction by electrodesiccation and curettage did it change favorably.
REPORT OF A CASE
J. H., a Negro aged 29, first noted an ulcerative lesion on the right ankle in September 1944. He was treated as an outpatient for several weeks, but as the lesion progressed in size a local cellulitis developed. The patient was then hospitalized at an Army general
ALLISON JR, ROBINSON AM, FRUTCHEY LD. EXTENSIVE PYODERMATITIS VEGETANS CURED BY ELECTRODESICCATION AND CURETTAGE. AMA Arch Derm Syphilol. 1950;62(5):666–670. doi:10.1001/archderm.1950.01530180055011
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