Pioderma gangrenosa en cirugía plástica: Comunicación de tres casos

Abstract

Pyoderma Gangrenosum is a rare disease whose etiology is probably autoimmune. We report two males aged 48 and 49 years and one female aged 54 years, with lesions in the right thigh, right leg and in the borders of a surgical incision in the chest. This article gives a brief description of the lesions, tips for diagnosis and help for the initial management and treatment.

Postoperative pyoderma gangrenosum: diagnostic value of 16s ribosomal RNA sequencing and review of the literature

“…Interestingly, all patients had been initially treated as having wound infection, resulting in a delay in diagnosis of PPG, ranging from a few days to several months. We found cases appearing after abdominal 9,10 (mostly caesarean section), breast 8 (mostly reduction), cardiac, 9,11–13 orthopaedic 14,15 and cutaneous 9,16,17 surgeries, and other surgical procedures including thyroidectomy 9 and ophthalmic surgery 18,19 . Of the 86 patients with PPG, including our 3 cases, more than half had undergone breast or abdominal surgery.…”

Complex Wounds

“…It can have different clinical presentations and is often associated with inflammatory intestinal disease (55%) and rheumatoid arthritis (37%). 101 It can be associated with plastic surgeries including aesthetic ones, particularly in the breast. 102 Our experience is not extensive enough to draw any conclusion about the best treatment available, but apart of the appropriate medical systemic treatment for the general condition, the wound should be treated by removal of necrotic tissue and surrounding tissue of doubtful viability, preparation of the bed, and closure as soon as possible with skin grafting techniques.…”

Pyoderma gangrenosum in breast reconstruction

“…Surgical interventions or injuries can be complicated by pathergy [1]. This phenomenon is a response to skin antigens that are altered by surgery or trauma and lead to the formation of new ulcers in the corresponding sites [2][3][4]. The variants are classified as follows: ulcerative, pustular, bullous, and vegetative.…”