Successful treatment of localized pyoderma faciale in a patient with Crohn's disease.

Address correspondence to: Dr. Raymond K. Cross, 100 North Greene Street, Lower Level, Baltimore, MD 21201; Tel: 410-706-3387; Fax: 410-706-4330; E-mail: [email protected] Inflammatory bowel disease (IBD) is associated with several dermatologic manifestations, of which the most commonly cited are erythema nodosum and pyoderma gangrenosum. Pyoderma faciale (PF) is a dermatologic condition characterized by a fulminant eruption of inflammatory papules, pustules, and nodules on the face. PF is usually diagnosed in young women and is thought by some doctors to be a variant of rosacea. We present a case of a patient with longstanding inflammatory ileal Crohn’s disease (CD) with complex perianal fistula who presented with the onset of PF while undergoing fistula treatment.