Pyoderma gangrenosum in breast reconstruction

López, Cristina M.; Martinez, A. L.; Mas, J Oriol Roca; Payro, J.M. Serra; Viñals, J.

doi:10.3109/2000656x.2011.636970

Cited by 10 publications

(1 citation statement)

References 7 publications

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“…In 25 of these cases PG occurred post breast surgery, predominantly breast reduction mammoplasty. [7][8][11][12][13][14]16,[18][19][21][22][23][24][25][26][27][28][29][30][31][32] 16 out of 32 cases described in the literature have been associated with conditions such as inflammatory bowel disease, rhematoid arthritis and breast malignancy but there are also cases with no pre-existing disease. [6][7][8][10][11][12]17,23,[25][26]28,[30][31] The age of presentation for PG is variable and ranges from 15 to 66 years old.…”

Section: Discussionmentioning

confidence: 99%

Pyoderma gangrenosum of the breast treated with intravenous immunoglobulin

Sinnya¹,

Hamza²

2013

J Dermatol Case Rep

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Background: Pyoderma gangrenosum is a rare neutrophilic dermatosis which leads to necrotic and painful skin ulceration. PG of the breast is extremely rare with 32 documented cases in the current literature. Delay in diagnosis worsens scarring as the ulcers are rapidly expanding, painful and usually slow to heal. Case presentation:We present a case of pyoderma gangrenosum of the breast in a patient with associated rheumatoid arthritis which was initially diagnosed as an infected breast ulcer and later successfully treated with systemic steroids and intravenous immunoglobulin (IVIG). Conclusion:Even though PG of the breast has been gaining increased recognition over the past two decades, this has been more common in the post-surgical setting. This case highlights the need to consider PG as a differential diagnosis when faced with unsual cases of breast ulceration and the importance of multidisplinary approach for effective treatment of this condition. (J Dermatol Case Rep. 2013; 7(2): 64-68)

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