Pyoderma gangrenosum: beware, it does recur

Souza, Beryl De; Millard, R. J.; Flemming, Stewart

doi:10.1054/bjps.2000.3486

Cited by 1 publication

(1 citation statement)

References 5 publications

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“…Postoperatively, be particularly wary of any wound that causes the patient extreme pain out of proportion to the lesion, any wound with edges that have a purple colour and appear slightly undermined, or any wound that fails to respond to appropriate antibiotic therapy. Aggressive medical therapy should also accompany any surgical intervention (19,24,25,30,31).…”

Section: Discussionmentioning

confidence: 99%

Pyoderma Gangrenosum Following Reduction Mammaplasty

Simon¹,

Khuthaila²,

Hammond³

et al. 2006

Canadian Journal of Plastic Surgery

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The failure of a postoperative local infection to resolve after appropriate antibiotic therapy should prompt consideration of other diagnoses. Reported here is a case of pyoderma gangrenosum, a rare necrotizing disorder, occurring after reduction mammaplasty. The clinical presentation was one of progressive wound deterioration with associated erythema and intense pain. After failure of antibiotic therapy and local wound care, tissue biopsy of the enlarging wound edge confirmed the diagnosis, which then responded rapidly to systemic steroid treatment. Given that the treatment for pyoderma gangrenosum is at odds with the standard treatment for an infection (steroids versus antibiotics), differentiating between the two diagnoses is vital to providing resolution of the process and limiting any untoward scarring resulting from the advancing open wounds that can develop. With this in mind, the physical signs and symptoms that characterize this condition and thus allow early diagnosis are presented, and treatment options discussed.

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