{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T07:48:32Z","timestamp":1767340112638,"version":"3.44.0"},"reference-count":24,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,9,9]]},"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>A man in his early 50s was referred to the oral medicine clinic regarding a 6-month history of ulceration affecting the palate and gingivae. Intra-oral examination revealed multiple friable pustules on a background of erythema affecting the gingival sulci and \u2018snail-track\u2019 like ulceration affecting the palate. Histopathological analysis of the gingivae revealed features in keeping with a diagnosis of pyostomatitis vegetans (PV). Although he did not report any gastrointestinal symptoms, the patient was referred to gastroenterology and underwent colonoscopy and small bowel series examination. Colonic biopsies showed no features to suggest a diagnosis of inflammatory bowel disease (IBD). In 11 years since diagnosis of PV, the patient still shows no signs or symptoms suggestive of IBD. This case highlights a rare occurrence of PV without IBD, but emphasises the importance of appropriate referral to relevant medical specialities based on clinical and histopathological findings.<\/jats:p>","DOI":"10.1136\/bcr-2023-256318","type":"journal-article","created":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T12:40:17Z","timestamp":1695645617000},"page":"e256318","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Unusual presentation of pyostomatitis vegetans and its management"],"prefix":"10.1136","volume":"16","author":[{"given":"Conor","family":"O'Gorman","sequence":"first","affiliation":[{"name":"Specialty Registrar in Oral Medicine, Belfast Health and Social Care Trust, Belfast, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophia","family":"Smyth","sequence":"additional","affiliation":[{"name":"Undergraduate Dental Student, Queens University Belfast, Belfast, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Willis","sequence":"additional","affiliation":[{"name":"Senior Clinical Lecturer and Consultant in Oral Medicine, Queens University Belfast \/ Belfast Health & Social Care Trust, Belfast, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,9,25]]},"reference":[{"key":"2025082708485990000_16.9.e256318.1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2009.03304.x"},{"key":"2025082708485990000_16.9.e256318.2","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1016\/j.joms.2005.07.020","article-title":"Pyostomatitis vegetans: a clinical marker of silent ulcerative colitis","volume":"65","author":"Markiewicz","year":"2007","journal-title":"J Oral Maxillofac Surg"},{"key":"2025082708485990000_16.9.e256318.3","first-page":"E114","article-title":"Pyostomatitis vegetans: a review of the literature","volume":"14","author":"Femiano","year":"2009","journal-title":"Med Oral Patol Oral Cir Bucal"},{"key":"2025082708485990000_16.9.e256318.4","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1007\/BF01986902","article-title":"Pyodermite vegetante\u201d IHRE Beziehungen Zur dermatitis Herpetiformis und Dem Pemphigus Vegetans","volume":"43","author":"Hallopeau","year":"1898","journal-title":"Arch f Dermat"},{"key":"2025082708485990000_16.9.e256318.5","doi-asserted-by":"crossref","first-page":"2363","DOI":"10.2147\/CCID.S383926","article-title":"Paediatric pyodermatitis-pyostomatitis vegetans without underlying inflammatory bowel disease: a case report of a 3-year-old African girl","volume":"15","author":"Maruma","year":"2022","journal-title":"Clin Cosmet Investig Dermatol"},{"key":"2025082708485990000_16.9.e256318.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2003.08.022"},{"key":"2025082708485990000_16.9.e256318.7","doi-asserted-by":"crossref","unstructured":"Gheisari M , Zerehpoosh FB , Zaresharifi S . 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