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September 1979

Treatment of Pyoderma Vegetans of Hallopeau With Dapsone

Author Affiliations

Zaria, Nigeria

Arch Dermatol. 1979;115(9):1035-1036. doi:10.1001/archderm.1979.04010090003009

To the Editor.—  The recent article in the Archives by Nelson et al (113:942-944, 1977) and the letter by Forman (114:627-628, 1978) dealt thoroughly with the historical background of Hallopeau's pyoderma vegetans, stressed its currently vague definition, and emphasized the value of immunofluorescent microscopic studies in placing the case in a suggested pemphigus-pyoderma spectrum.The rarity of the condition and a dramatic response to dapsone have prompted us to describe our patient, who, to the best of our knowledge, is the first African to be described with this disease.

Report of a Case.—  A 25-year-old herdsman from the nomadic Fulani tribe was seen at the dermatology clinic at Ahmadu Bello University Hospital, Zaria, Northern Nigeria, on Nov 17,1976, because of papillomatous lesions in the flexural areas, which had been present for the past two years. The lesions appeared first in the groin and later progressed to the axillae and umbilicus.