Table 1

Variants of PG

VARIANTDESCRIPTION
Pustular
  • Process stops at pustular stage (ie, does not coalesce and ulcerate)

  • Pustule might last up to several months; seems to be limited to patients with IBD; and tends to occur on trunk and extensor limb surfaces7

Bullous
  • Bullous areas spread rapidly in a concentric pattern5

  • Areas break down to form superficial ulcers; are often associated with hematologic malignancies; and affect upper limbs and face most commonly8

Vegetative
  • Typically presents as a solitary furunculoid purple abscess, nodule, or plaque most commonly located on the trunk

  • Lesions are often not painful and tend to enlarge slowly

  • Lesions respond well to topical therapy and are usually not associated with systemic disease9

Peristomal (site-specific)
  • Ulcers occur close to abdominal stomas; have a similar morphology to classic PG; and often interfere with adherence of stoma bag to abdominal wall10

  • IBD—inflammatory bowel disease, PG—pyoderma gangrenosum.