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Pyoderma gangrenosum producing saddle nose deformity

Published online by Cambridge University Press:  29 June 2007

George A. Worley*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Kent and Sussex Weald NHS Trust, Kent and Sussex Hospital, Tunbridge Wells, Kent, UK.
Michael J. Wareing
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Kent and Sussex Weald NHS Trust, Kent and Sussex Hospital, Tunbridge Wells, Kent, UK.
Robert J. Sergeant
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Kent and Sussex Weald NHS Trust, Kent and Sussex Hospital, Tunbridge Wells, Kent, UK.
*
Address for correspondence: Mr George A. Worley, F.R.C.S., 43 St Peter's Lane, Canterbury, Kent CT1 3NG.

Abstract

Pyoderma gangrenosum affecting the nose is rare and this may lead to diagnostic confusion because of the large differential diagnosis. As diagnosis is made, largely, on the basis of exclusion the treatment of pyoderma gangrenosum may be unduly delayed. The condition is often disfiguring, particularly following inappropriate surgical intervention, and early diagnosis is therefore important.

We present a case of pyoderma gangrenosum managed initially in the community with minor surgery and resulting in the rare complication of saddle nose deformity.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1998

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