PIODERMA GRANULOMATOSO SUPERFICIAL RECALCITRANTE Y EMBARAZO. PRESENTACION DE UN CASO Y REVISION DE LA LITERATURA

El pioderma granulomatoso superficial es una variante del pioderma gangrenoso, caracterizada por la aparicion de ulceras superficiales y vegetantes, con hallazgos granulomatosos en su histologia Se asocia infrecuentemente a enfermedad sistemica Se presenta un caso de aparicion durante la gestacion, con multiples ulceras localizadas en miembros inferiores, que progresan rapidamente, sin alguna enfermedad subyacente. Se trata con prednisona 50mg/dia y posterior a la culminacion del embarazo se asocio talidomida, clofazimina, dapsona y terapia topica oclusiva con bota de Unna y apositos humedos hidrocoloides, con cicatrizacion de las lesiones y sin recurrencias. SUMMARY Superficial granulomatous pyoderma is a variant of pyoderma gangrenosum, characterized by the appearance of super-ficial and vegetative ulcers, with granulomatous histopathological findings. It is infrequently associated with systemic disease. A case is presented in which it appeared during gestation, with multiple ulcers localized on the lower members, which progressed rapidly without underlying disease. The patient was treated with prednisone 50 mg/day and after the pregnancy was completed, thalidomide, clofazamine, dapsone and occlusive topical treatment with Unna boot and hydrocolloid dressing, with healing of the lesions and without recurrence. Key words: superficial granulomatous pyoderma, pyoderma gangrenosum, pregnancy, prednisone, thalidomide, clofazimine, dapsone, Unna boot, hydrocolloid dressing.