Volume 10, Issue 2 (2021)                   WJPS 2021, 10(2): 103-106 | Back to browse issues page


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1- 1. Department of Plastic and Reconstruc-tive Surgery, Centro Hospitalar Conde São Januário, Macau SAR
Abstract:   (2001 Views)
Pyoderma gangrenosum (PG) is a rare inflammatory neutrophilic dermatosis, characterized by painful ulcerative, bullous, or pustular skin conditions. Pathergy is usually used to describe PG which refers to initiation or exacerbation of the disease after accidental or iatrogenic skin trauma. Diagnosis of postoperative PG is challenging not only due to its presentation mimics infectious wounds, but also because there are no standard laboratory parameters for diagnosis. Herein, we present a case of a 46-year-old female patient who had recurrent bilateral breast wound erythema, swelling, pain and necrosis after breast reduction mammoplasty at Centro Hospitalar Conde São Januário Macau SAR in 2018. We diagnosed her postoperative PG and successfully treated her with oral prednisolone with significant therapy response.
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Type of Study: Original Article | Subject: Special
ePublished: 2021/06/25

References
1. Stanisla N T, Aodhnait SF, Felipe BC, et al. Postoperative pyoderma gangrensum: a clinical review of published cases. Mayo Clin Proc 2016:91(9):1267-1279. [DOI:10.1016/j.mayocp.2016.05.001]
2. Sami HT, Karim AS, Gerhard SM, et al. Pyoderma gangrenosum after breast surgery, diagnostic perals and treatement recommendations based on a systematic literature review. Ann Plast Surg 2014;00:00-00.
3. Duval A, Boissel N, Servant J.M. et al. Pyoderma gangrenosum of the breast: A diagnosis not to be missed. Journal of plastic, reconstructive & aesthetic surgery 2011; 64. E17-E20. [DOI:10.1016/j.bjps.2010.07.022]
4. Tolkachjov SN, Fahy AS, Cerci FB, et al. Postoperative Pyoderma Gangrenosum: A Clinical Review of Published Cases. Mayo Clin Proc 2016 Sep;91(9):1267-79. [DOI:10.1016/j.mayocp.2016.05.001]
5. Berlinrut I, Bhatia N, Josse JM, et al. Untreatable surgical site infection: consider pyoderma gangrenosum. Plast Reconstr Surg Glob Open 2014;2(6): e 166. [DOI:10.1097/GOX.0000000000000114]
6. Ehrl DC, Heidekrueger PI, Broer PN. Pyoderma gangrenosum after breast surgery: A systematic review. J Plast Reconstr Aesthet Surg 2018;71(7):1023-1032. [DOI:10.1016/j.bjps.2018.03.013]
7. Prateush S, Sami H. Tuffaha, et al. Pyoderma gangrenosum following autologous breast reconstruction. Gland Surg 2017;6(1): 101-104. [DOI:10.21037/gs.2016.08.05]
8. Justin TZ, John FN. Pyoderma gangrenosum after deep inferior epigastric perforator breast reconstruction: systematic review and case report. Plast Reconstr Surg Glo Open 2017;5(4):e1239. [DOI:10.1097/GOX.0000000000001239]
9. Baranska RW, Kakol M, Naesstrom M, et al. A retrospective study of 12 cases of pyoderma gangrenosum: why we should avoid surgical intervention and what therapy to appy. Am Surg 2011;77:1644. [DOI:10.1177/000313481107701236]

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