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Pyoderma faciale
Other Resources UpToDate PubMed

Pyoderma faciale

Contributors: Rajini Murthy MD, Susan Burgin MD
Other Resources UpToDate PubMed

Synopsis

Pyoderma faciale, also known as rosacea fulminans, is an acute, inflammatory eruption almost exclusively seen on the face of young women and characteristically sparing the trunk. This is an uncommon disorder manifested by the sudden onset of large, tender, inflammatory papules, pustules, and nodules on the face. Pyoderma faciale lacks systemic symptoms.

The etiology is unknown; however, the majority of patients report a history of rosacea or facial flushing. Triggers may include hormonal changes (ie, pregnancy, oral contraceptives, menopause) or emotional stressors. Pyoderma faciale has been noted in case reports to occur in association with inflammatory bowel disease (IBD) and small intestinal bacterial overgrowth (SIBO).

Codes

ICD10CM:
L08.0 – Pyoderma

SNOMEDCT:
29909004 – Pyoderma faciale

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

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References

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Last Reviewed:10/16/2020
Last Updated:11/19/2020
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Pyoderma faciale
Pyoderma faciale : Pustules, Cysts, Erythematous
Clinical image of Pyoderma faciale
Large, boggy, inflammatory plaques with overlying and surrounding pustules and crusting on the lower face. 
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