Case Report
A 30‑year‑old woman was referred to our department ( Al Zahra Hospital; Referral Center for Treatment of Skin Diseases). The patient had 60% body surface third‑degree burn due to oil 4 weeks before.She was treated using daily dressing with silver sulfadiazine and intravenous antibiotic in a burn care
center (Imam Musa Kazim hospital), and the burned skin in her thigh was successfully repaired with
full‑thickness skin graft from the left forearm origin.During this period, 24 days after the burn injury,
multiple papillomatoses and nodular lesions appeared periphery of the burn site and also around the donor site on her forearm [Figure 1]. The lesions grew and bled easily.
Laboratory investigation including complete blood count,liver, and renal function tests was within normal range.HIV and human T‑lymphotropic virus serology were negative. Blood and fresh tissue cultures for Bartonella spp. were negative.Histopathology examination showed hyperkeratosis,dermal edema, intense inflammatory cell infiltration(mostly lymphocytes and plasma cells), and bloody
vessel proliferation [Figure 2,3].
The pathological features of this biopsy consisted with the clinical diagnosis of PG. Besides conservative treatment such as daily dressing and antibiotic, the excision of the lesions followed by electrosurgery of the base under local anesthesia was planned for her treatment and performed in the primary local facility. There was no evidence of recurrence 6 months later.