title: Pyoderma gangrenosum following autologous breast reconstruction.
abstract: Pyoderma gangrenosum (PG) is an uncommon disorder characterized by the development of painful cutaneous ulceration, commonly precipitated by dermal injury at surgical sites. It is a diagnostic challenge as it manifests as necrotizing wounds which are commonly misdiagnosed as postoperative wound infection or ischemia. We discuss the clinical features and histopathological findings that allow for rapid identification of PG following autologous breast reconstruction and suggest an algorithm to aid diagnosis.
authors.affiliation: Department of Plastic and Reconstructive surgery, University of Cambridge, Addenbrooke's Hospital, CB2 0QQ, UK.
authors.forename: Prateush
authors.initials: P
authors.lastname: Singh
authors.affiliation: Department of Plastic and Reconstructive Surgery, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
authors.forename: Sami H
authors.initials: SH
authors.lastname: Tuffaha
authors.affiliation: Department of Plastic and Reconstructive Surgery, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
authors.forename: Sanford H
authors.initials: SH
authors.lastname: Robbins
authors.affiliation: Department of Plastic and Reconstructive Surgery, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
authors.forename: Steven C
authors.initials: SC
authors.lastname: Bonawitz
keywords: Pyoderma gangrenosum (PG); breast reconstruction; mastectomy; pathergy