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Atypical Pyroderma Gangrenosum after Breast Reduction


Gulyas, K and Kimble, F, Atypical Pyroderma Gangrenosum after Breast Reduction, Aesthetic Plastic Surgery, 27, (4) pp. 328-331. ISSN 0364-216X (2004) [Refereed Article]

DOI: doi:10.1007/s00266-003-3017-y


Although rare, pyoderma gangrenosum (PG) occurs as one of the worst local complications following plastic surgery to the breast. The early manifestations are similar to a necrotizing wound infection, so diagnosis and correct management are often delayed. Failure of response to the aggressive treatment strategies needed for necrotizing wound infections and the phenomenon of pathergy will often raise the clinical suspicion of PG. The main steps of therapy consist of minimal wound debridement and initiation of corticosteroids and/or immune modulation. Repair of skin defects requires care and attention. Smaller defects are best left to heal by secondary intention, as pathergy can reactivate the syndrome and cause an even larger skin wound. Larger defects are repaired with skin grafts or flaps. We report a case of atypical (bullous) PG in a healthy 57-year-old white woman following reduction mammaplasty.

Item Details

Item Type:Refereed Article
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Surgery
Objective Division:Health
Objective Group:Clinical health
Objective Field:Treatment of human diseases and conditions
UTAS Author:Kimble, F (Associate Professor Frank Kimble)
ID Code:32060
Year Published:2004
Web of Science® Times Cited:31
Deposited By:Surgery
Deposited On:2004-08-01
Last Modified:2005-05-11

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