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Park TH, Fan KL, Zolper EG, Song DH, Del Corral G, et al.
Plastic and reconstructive surgery. Global open. Date of publication 2020 Apr 10;volume 8(4):e2596.
1. Plast Reconstr Surg Glob Open. 2020 Apr 10;8(4):e2596. doi: 10.1097/GOX.0000000000002596. eCollection 2020 Apr. Pyoderma Gangrenosum Masquerading as Necrotizing Infection after Autologous Breast Reconstruction. Park TH(1)(2), Fan KL(1), Zolper EG(1), Song DH(1), Del Corral G(1). Author information: (1)Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, D.C. (2)Department of Plastic and Reconstructive Surgery, CHA Budang Medical Center, Seongnam, South Korea. Pyoderma gangrenosum (PG) is a diagnostic dilemma when it presents with a superimposed infection and previous surgery without subsequent inflammatory infection. In this setting, PG is not at the forefront of the surgeon's mind. Furthermore, the treatment for PG, systemic steroids, may cause serious morbidity if the necrotizing infection is the actual culprit. We present an autologous breast reconstruction patient with previous uncomplicated surgery and no personal history of inflammatory disease. Important clinic clues to aid the surgeon in diagnosis include irregular violaceous undermined border, purulence limited to the skin, bilateral involvement, the involvement of the abdominal wound, sparing of the mastectomy site, and relative sparing of the nipples and umbilicus. Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. DOI: 10.1097/GOX.0000000000002596 PMCID: PMC7209838 PMID: 32440390 Conflict of interest statement: Disclosure: Dr. Song receives royalties from Elsevier for Plastic Surgery 3e/4e and Biomet Microfixation for Sternalock. None of the other authors has any financial disclosures.
Appears in following Topics:
Pyoderma Gangrenosum - Introduction and Assessment