Postsurgical pyoderma gangrenosum after autologous breast reconstruction: case report and review of the literature.

Abstract:

:Pyoderma gangrenosum (PG) is a rare skin disorder of unknown etiology that is believed to be part of the spectrum of neutrophilic dermatoses. Although 25% to 50% of cases are idiopathic, PG is associated with systemic disease in up to 70% of patients, most notably inflammatory bowel disease, rheumatoid arthritis, and paraproteinemia. Although a multitude of PG cases after breast reduction have been reported, only recently has an association of PG with breast reconstruction been acknowledged. In the present article, the case of postsurgical PG (PSPG) after autologous breast reconstruction is presented along with a review of the literature. The importance of early diagnosis and initiation of appropriate treatment is discussed. The authors discuss the possibility that the increased number of breast reconstructions being performed may increase the incidence of PSPG cases seen by plastic surgeons. As such, it is critical to remove PSPG from the list of "exotic" diseases and place it higher on the list of differential diagnoses as delays in treatment can result in debilitating complications with substantial patient morbidity.

journal_name

Ann Plast Surg

authors

Momeni A,Satterwhite T,Eggleston JM 3rd

doi

10.1097/SAP.0b013e318296b7ae

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

284-8

issue

3

eissn

0148-7043

issn

1536-3708

journal_volume

74

pub_type

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