title: Unusual cause of breast wound: postoperative pyoderma gangrenosum.
abstract: Postoperative pyoderma gangrenosum (PPG) is an unusual clinical entity, which shows rapidly progressive skin necrosis that can occur within surgical sites after any surgical procedure. Usually, it is diagnosed as wound infection at the time of presentation, but antibiotic therapy and wound debridement fail to arrest rapid ulcer enlargement. We report the case of PPG in a 21-year-old woman after a reduction mammoplasty surgery. In this report, we emphasise the importance of considering pyoderma gangrenosum (PG) as one of the differential diagnoses of breast ulcers after surgical procedures. Careful clinical assessment may establish an early diagnosis and prevent potential serious complications.
authors.affiliation: Skin diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Bahareh
authors.initials: B
authors.lastname: Abtahi-Naeini
authors.affiliation: Orthodontic Department, Dental school, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Fahimeh
authors.initials: F
authors.lastname: Bagheri
authors.affiliation: Cancer Research Center, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran.|Department of Ophthalmology, Students' Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Mohsen
authors.initials: M
authors.lastname: Pourazizi
authors.affiliation: Cancer Research Center, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Forozeshfard
authors.affiliation: Pharmacy Students' Research Committee, School of Pharmacy, Isfahan University of Medical sciences, Isfahan, Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Saffaei
mesh_terms: D001940:Breast / Q000601:surgery; D003646:Debridement; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy*; D017511:Pyoderma Gangrenosum / Q000209:etiology* / Q000628:therapy*; D013256:Steroids / Q000627:therapeutic use*; D013530:Surgical Wound Infection / Q000209:etiology / Q000628:therapy; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D013256:Steroids
keywords: Breast surgery; Mammoplasty; Postoperative pyoderma gangrenosum; Pyoderma gangrenosum