Pyoderma gangrenosum (PG) is a severe ulcerative skin disorder of uncertain origin but may be associated with a variety of diseases including inflammatory bowel disease, rheumatoid arthritis, and malignant neoplasms (particularly leukemia).1 Lesions most commonly affect the lower legs, while lesions in the head and neck are rare.2 Pyoderma gangrenosum involving the nose is extremely rare, with few reports of PG affecting the nose presenting as nasal septal perforation and resultant saddle nose deformity (Table).3- 7 The condition is often disfiguring, particularly following inappropriate surgical intervention. We report herein a patient with ulcerative colitis and PG that was managed with minor surgery but resulted in a saddle nose deformity.
Kim DH, Oh J, Lee JJ, Kim HJ. A Case of Pyoderma Gangrenosum on the Nasal Dorsum. Arch Otolaryngol Head Neck Surg. 2010;136(2):193–196. doi:10.1001/archoto.2009.213