Pyoderma Gangrenosum Following Breast Reconstruction: Successful Treatment with Steroids

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Acta Medica International,2017,4,1,62-65.
Published:November 2016
Type:Case Report

Pyoderma Gangrenosum Following Breast Reconstruction: Successful Treatment with Steroids

B Díaz-de la Noval1, C Casado Sánchez2, J De Santiago García1, M Herrera de la Muela3

1Department of Gynaecologic Oncology Unit, Gynaecology and Obstetrics, University Hospital La Paz, Madrid-Spain.

2Department of Plastic Surgery, University Hospital La Paz, Madrid-Spain.

3Department of Breast Pathology Unit, Gynaecology and Obstetrics, University Hospital La Paz, Madrid-Spain. 

Abstract:

Introduction: Pyoderma gangrenosum is a rare cause of skin necrosis after surgery. It often appears with extensive ulcerations and scaring with significant aesthetic aftermaths. The pathogenesis is poorly understood but often associated with inflammatory diseases, however post-surgical idiopathic pyoderma gangrenosum can occur. Case Report: We report a case of pyoderma gangrenosum following a bilateral breast reconstruction in a 33-year-old woman, successfully treated with steroids. A week after the surgery wounds started to break down and extensive necrotic ulceration appeared quickly covering both breasts. After dermatopathology evaluation she received antibiotics and prednisone and three months later wounds were completely healed and surgery was not necessary.

Breast Skin Biopsy