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June 1963

Chancriform Pyoderma

Author Affiliations


From the Department of Dermatology of the New York University School of Medicine and The Skin and Cancer Unit of the University Hospital.

Arch Dermatol. 1963;87(6):736-739. doi:10.1001/archderm.1963.01590180064013

Pyodermia chancriformis faciei was the term first used by Hoffmann1 in 1934 to describe a 2 cm-sized, button-shaped, slightly raised, superficially ulcerated, indurated lesion, which simulated syphilitic chancre or vaccinia.

Report of Case

A 60-year-old Czechoslovakian woman first noticed a lesion on the chin in September, 1961. On Dec 4, 1961, located on the right side of the chin, there was an indurated, ulcerated lesion 2 × 2.5 cm in diameter. The edges were rolled and pearly. On the left temple there was a similar lesion 1.5 cm in diameter. The clinical impression was basal cell epithelioma for both lesions. Biopsy specimens showed chronic perifolliculitis. No specific features were seen.

On Jan 2, 1962, the chin lesion was 4 cm in diameter and showed exudative ulceration with an indurated, rolled, nodular border. The left temporal lesion measured 0.5 cm in diameter and was covered with a crust. In addition,