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Clinical Note
February 15, 2010

A Case of Pyoderma Gangrenosum on the Nasal Dorsum

Author Affiliations

Author Affiliations: Department of Otolaryngology–Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea (Drs D. H. Kim and Oh); and Department of Otolaryngology, Ajou University School of Medicine, Suwon, South Korea (Drs Lee and H. J. Kim).

Arch Otolaryngol Head Neck Surg. 2010;136(2):193-196. doi:10.1001/archoto.2009.213

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.

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