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" A perplexing case of superficial granulomatous pyoderma with sporotrichoid-like distribution "
Parker, Jordan; Liszewski, Walter; Merten, Ashley H; Gaddis, Kevin; Pragman, Alexa; Goldfarb, Noah
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AL
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| Record Number
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923224
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LA5173t7tx
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| Language of Document
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English
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| Main Entry
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Parker, Jordan; Liszewski, Walter; Merten, Ashley H; Gaddis, Kevin; Pragman, Alexa; Goldfarb, Noah
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| Title & Author
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A perplexing case of superficial granulomatous pyoderma with sporotrichoid-like distribution [Article]\ Parker, Jordan; Liszewski, Walter; Merten, Ashley H; Gaddis, Kevin; Pragman, Alexa; Goldfarb, Noah
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| Title of Periodical
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Dermatology Online Journal
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26/6
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| Date
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2020
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| Abstract
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Superficial granulomatous pyoderma (SGP) is a rare pyoderma gangrenosum (PG) variant that differs from classic PG in that the ulcers tend to be more superficial, lack a rapidly advancing border, and are not typically associated with an underlying systemic disease. The ulcers are most commonly painless and located on the trunk, with a clean granulating base. They generally do not show undermining but may have a vegetative border. Lesions usually respond well to either topical or intralesional corticosteroids with complete healing. The classic histopathologic finding is a ''three-layer granuloma'' in the superficial dermis consisting of central neutrophilic inflammation and necrosis, a surrounding layer of histiocytes and multinucleated giant cells, and an outer most layer of plasma cells and eosinophils. Herein, we present a unique case of SGP with sporotrichoid-like distribution on the lower extremity.
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