title: Post Reconstruction Breast Pyoderma Gangrenosum: Early Recognition and Prosthesis Salvage.
abstract: We report 3 cases of breast pyoderma gangrenosum in patients undergoing total mastectomy with immediate reconstruction. All three received systemic corticosteroid treatment, resulting in resolution of symptoms. As experience grew, early diagnosis in the third patient helped prosthesis salvage and timely return to the original course of reconstruction. This represents the first report of prosthesis salvage from post breast reconstruction pyoderma gangrenosum, and it demonstrates that implant removal is not always necessary during management of this rare condition.
authors.affiliation: Department of Plastic Surgery, Lahey Hospital and Medical Center, Tufts University, School of Medicine, Boston, Mass.
authors.forename: Bryan
authors.initials: B
authors.lastname: Cicuto
authors.affiliation: Department of Plastic Surgery, Lahey Hospital and Medical Center, Tufts University, School of Medicine, Boston, Mass.
authors.forename: Thomas
authors.initials: T
authors.lastname: Cheriyan
authors.affiliation: Department of Plastic Surgery, Lahey Hospital and Medical Center, Tufts University, School of Medicine, Boston, Mass.
authors.forename: Pamela
authors.initials: P
authors.lastname: Rudnicki
authors.affiliation: Department of Plastic Surgery, Lahey Hospital and Medical Center, Tufts University, School of Medicine, Boston, Mass.
authors.forename: Lifei
authors.initials: L
authors.lastname: Guo