Skip to main content

Advertisement

Log in

Pyostomatitis vegetans in childhood

  • Infectious Disease
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

Pyostomatitis vegetans is an oral eruption, characterized by small pustules, ulcers and erythematous vegetations of the labial and buccal mucosae as well as labial-attached gingivae. Its importance lies in its high correlation with inflammatory bowel disease. It is commonly associated with skin and inflammatory bowel disease and is rare in children. We here report a sister and brother with onset of the disease at the age of 5 and 7 years, respectively. It is the first report of familial pyostomatitis vegetans occurring in the youngest patients hitherto reported.

Conclusion

The observation of two sibs with pyostomatitis, vegetans pyoderma gang-renosum and inflammatory bowel disease suggest a hereditary disposition to this rare triad.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Abbreviations

IBD:

inflammatory bowel disease

PG:

pyoderma gangrenosum

PV:

pyostomatitis vegetans

References

  1. Al-Rimawi HS, Abuekteish FM, Daoud AS, Oboosi MM (1996) Familial pyoderma gangrenosum presenting in infancy. Eur JPediatr 155:759–762

    Article  CAS  Google Scholar 

  2. Ballo FS, Camisa C, Allen CM (1989) Pyostomatitis vegetans: report of a case and review of the literature. J Am Acad Dermatol 21:381–387

    Article  PubMed  CAS  Google Scholar 

  3. Calobrisi SD, Mutasim DF, McDonald JS (1995) Pyostomatitis vegetans associated with ulcerative colitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 79:452–454

    Article  PubMed  CAS  Google Scholar 

  4. Cataldo E, Covino MC, Tesone PE (1981) Pyostomatitis vegetans. Oral Surg Oral Med Oral Pathol 52:172–177

    Article  PubMed  CAS  Google Scholar 

  5. Chan SWY, Scully C, Prime SS, Eveson J (1991) Pyostomatitis vegetans: oral manifestation of ulcerative colitis. Oral Surg Oral Med Oral Pathol 72:689–692

    Article  PubMed  CAS  Google Scholar 

  6. Ficarra G, Cicchi P, Amorosi A, Piluso S (1993) Oral crohn’s disease and pyostomatitis vegetans. An unusual association. Oral Surg Oral Med Oral Pathol 75:220–224

    Article  PubMed  CAS  Google Scholar 

  7. Forman L (1965) Two cases of pyodermite vegetante (Hallopeau): an eosinophilic pustular and vegetating dermatitis with conjunctival, oral and colonic involvement. Proc R Soc Med 58:244–249

    PubMed  CAS  Google Scholar 

  8. Hansen LS, Silverman JR S, Daniels TE (1983) The differential diagnosis of pyostomatitis vegetans and its relation to bowel disease. Oral Surg Oral Med Oral Pathol 55:363–373

    Article  PubMed  CAS  Google Scholar 

  9. Hays MA (1961) Pyostomatitis vegetans: report of a case. Oral Surg Oral Med Oral Pathol 14:1053–1056

    Article  Google Scholar 

  10. Healy CM, Farthing PM, Williams DM, Thornhill MH (1994) Pyostomatitis vegetans and associated systemic disease. A review and two case reports. Oral Surg Oral Med Oral Pathol 78:323–328

    Article  PubMed  CAS  Google Scholar 

  11. Hornstein O (1957) Zur Kentnis der Pyo-(Rhino-)Stomatitis vegetans. Arch Klin Exp Dermatol 205:357–372

    Article  PubMed  CAS  Google Scholar 

  12. Leydecker W, Lund O-E (1962) Augenbeteiligung bei pyostomatitis vegetans. Klin Monatsbl Augenheilkd 141:595–602

    Google Scholar 

  13. Lobkowicz F, Eckert F, Braun-Falco O (1991) Pyostomatitis vegetans: a specific marker of crohn disease and ulcerative colitis. Hautarzt (Germany) 42:92–95

    CAS  Google Scholar 

  14. Margoles JS, Wenger J (1961) Stomal ulceration associated with pyoderma gangrenosum and chronic ulcerative colitis. Gastroenterology 41:594–598

    PubMed  CAS  Google Scholar 

  15. Marks JM (1962) Ulcerative colitis with pyodermite vegetante. Proc R Soc Med 55:1072–1073

    Google Scholar 

  16. McCarthy FP (1949) Pyostomatitis vegetans: report of three cases. Arch Dermatol Syph 60:750–764

    CAS  Google Scholar 

  17. McCarthy P, Shklar G (1963) A syndrome of pyostomatitis vegetans and ulcerative colitis. Arch Dermatol 88:913–919

    PubMed  CAS  Google Scholar 

  18. Naish JM, Batchvarov BD, Lawoyin VL (1970) A case of ulcerative colitis and pyostomatitis vegetans in an African. Gut 11:38–40

    Article  PubMed  CAS  Google Scholar 

  19. Nelson CG, Apisarnthanarax P, Bean SF, Mullins JF (1977) Pemphigus vegetans of Hallopeau: immunofluorescent studies. Arch Dermatol 113:942–945

    Article  PubMed  CAS  Google Scholar 

  20. Neville BW, Smith SE, Maize JC, Laden SA, Denton WT (1985) Pyostomatitis vegetans. Am J Dermatopathol 7:69–77

    Article  PubMed  CAS  Google Scholar 

  21. Oimet G, Menard A, Trudeau JG (1973) Immunofluorecence dans la pyodermite vegetante de Hallopeau. Union Med Can 103:1699–1701

    Google Scholar 

  22. Philpot HC, Elewski BE, Banwell JG, Gramlich T (1992) Pyostomatitis vegetans and primary sclerosing cholangitis: marker of inflammatory bowel disease. Gastroenterology 103:668–674

    PubMed  CAS  Google Scholar 

  23. Rockl H (1964) Uber die pyodermite vegetante Hallopeau als benigne form des pemphigus vegetans von Neumann nebst einigen Bemerkungen zur pyostomatitis vegetans von McCarthy. Arch Klin Exp Dermatol 218:574–582

    Article  Google Scholar 

  24. Rodriguez Y, Baena R, Magrini U, Vezzoni F, Cattaneo V, Bernasconi G (1989) Problemi diagnostici in un caso di pio-stomatite vegetante. Minerva Stomatol 38:317–320

    Google Scholar 

  25. Thronhill MH, Zakrzewska JM, Gilkes JJH (1992) Pyostomatitis vegetans: report of three cases and review of the literature. J Oral Pathol Med 21:128–133

    Article  Google Scholar 

  26. VanHale HM, Rogers III RS, Zone JJ, Greipp PR (1985) Pyostomatitis vegetans: a reactive mucosal marker for inflammatory disease of the gut. Arch Dermatol 121:94–98

    Article  PubMed  CAS  Google Scholar 

  27. Wray D (1984) Pyostomatitis vegetans. Br Dent J 157:316–318

    Article  PubMed  CAS  Google Scholar 

  28. Zegarelli EV, Kutscher AH (1962) Oral “Pyoderma”: report of two cases. Am J Dig Dis (New Ser) 7:281–288

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Al-Rimawi, H.S., Hammad, M.M., Raweily, E.A. et al. Pyostomatitis vegetans in childhood. Eur J Pediatr 157, 402–405 (1998). https://doi.org/10.1007/s004310050838

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s004310050838

Key words

Navigation