title: Pyoderma gangrenosum following gastric bypass surgery.
abstract: Pyoderma gangrenosum (PG) is a neutrophilic dermatosis that is a rare complication of surgery. Its diagnosis and treatment often are delayed in the postsurgical setting; by the time a dermatologist is consulted, lesions often are quite large and may be accompanied by systemic symptoms. Prompt treatment of severe PG with systemic therapy is warranted; however, in patients with contraindications to systemic immunosuppressive agents, treatment with superpotent topical corticosteroids may be considered. We present a case of PG following gastric bypass surgery along with a review of the literature on postsurgical PG.
authors.affiliation: Tufts Medical Center, 800 Washington St, Box 114, Boston, MA 02111, USA. curman@tuftsmedicalcenter.org.
authors.forename: Christine O
authors.initials: CO
authors.lastname: Urman
authors.forename: Harty
authors.initials: H
authors.lastname: Ashby-Richardson
authors.forename: Priya S
authors.initials: PS
authors.lastname: Thakker
mesh_terms: D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery; D011241:Prednisone / Q000627:therapeutic use; D017511:Pyoderma Gangrenosum / Q000188:drug therapy* / Q000209:etiology* / Q000473:pathology; D012867:Skin / Q000473:pathology; D016896:Treatment Outcome
chemical_list: D005938:Glucocorticoids; D011241:Prednisone