Describes a case of oculocutaneous Wegener's granulomatosis manifesting as malignant pyoderma with corneal melt in a 56-year-old man. Presence of facial ulceration at the preauricular cheek overlying the angle of the mandible; Three categories of cutaneous manifestation of Wegener's granulomatosis; Response to intravenous methylprednisolone and oral prednisone treatment.