Ocular pyoderma gangrenosum: A systematic review

Angela S. Gupta, Alex Ortega Loayza

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background Pyoderma gangrenosum (PG) is a rare, ulcerative cutaneous disorder. Ophthalmic involvement in PG is atypical, but can have devastating consequences. Objective We sought to characterize ocular PG to allow for earlier diagnosis and therapy. To our knowledge, this is the first systematic review summarizing this clinical variant. Methods A systematic review was conducted using PubMed and Web of Science. Data were extracted and studies were qualitatively assessed and analyzed. Results We identified all 34 cases of PG involving the eye and periorbital area, and categorized them into 4 different subtypes. Common presenting signs include ulceration, peripheral ulcerative keratitis, and decreased visual acuity. Although it is often difficult to biopsy ocular PG, histologic features are nonspecific. Combined therapy using corticosteroids and further surgical reconstruction as needed is the mainstay of treatment. Cases of the eye/orbit in particular should be treated aggressively, as these are more likely to relapse compared with cases of the periorbital area. Limitations Use of case reports, paucity of ocular PG cases, and heterogeneity of studies are limitations. Conclusion PG should be considered in the differential diagnosis of ulceration of ocular/periocular tissues. An aggressive, early, multimodal treatment strategy should be used to prevent relapse, especially in cases of the eye/orbit.

Original languageEnglish (US)
Pages (from-to)512-518
Number of pages7
JournalJournal of the American Academy of Dermatology
Volume76
Issue number3
DOIs
StatePublished - Mar 1 2017

Fingerprint

Pyoderma Gangrenosum
Orbit
Corneal Ulcer
Recurrence
Combined Modality Therapy
Secondary Prevention
PubMed
Visual Acuity
Early Diagnosis
Adrenal Cortex Hormones
Differential Diagnosis
Biopsy
Skin

Keywords

  • extracutaneous
  • eye
  • inflammation
  • neutrophilic dermatoses
  • ocular
  • periorbital
  • pyoderma gangrenosum

ASJC Scopus subject areas

  • Dermatology

Cite this

Ocular pyoderma gangrenosum : A systematic review. / Gupta, Angela S.; Ortega Loayza, Alex.

In: Journal of the American Academy of Dermatology, Vol. 76, No. 3, 01.03.2017, p. 512-518.

Research output: Contribution to journalArticle

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