Postsurgical pyoderma gangrenosum complicating reduction mammaplasty.
Reduction mammaplasty is one of the most common surgeries performed by plastic surgeons. It relieves back and neck pain and improves the aesthetic contour of the ptotic breast. Postsurgical pyoderma gangrenosum (PSPG) is an unusual inflammatory disorder leading to rapidly progressive skin necrosis that can occur after any surgical procedure. The skin lesions have the characteristic appearance of ulcers with a purple-colored border and erythematous halo. Clinically, the patient has a low fever and severe local pain. In the majority of cases this disease is misdiagnosed as severe infection leading to improper debridement, exacerbating the problem. The mainstay of therapy for PSPG is still nonoperative and focuses on immunosuppressive medications and local wound care, which allows healing in the majority of the cases. It is important for plastic surgeons and infectologists to be cognizant of this entity, as a delay in diagnosis and management can be life-threatening and lead to considerable tissue loss and disfigurement of the breast. The authors report a case of reduction mammaplasty complicated with PSPG and its treatment.


METHODS
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Clínica de Cirurgia Plástica Dr. Marcos Grillo, Avenida Sete de Setembro, Curitiba, PR, 4848, Brazil. mgrillo@terra.com.br
Marcos Artigas
MA
Grillo
Thiego Teixeira
TT
Cavalheiro
Marcelo
M
da Silva Mulazani
Jaime Luis Lopes
JL
Rocha
Denise
D
Semchechen
Clovis Arns
CA
da Cunha
D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects*; D008875:Middle Aged; D017511:Pyoderma Gangrenosum / Q000209:etiology*