Pyoderma gangrenosum following breast reduction: treatment with topical tacrolimus and steroids.
Unlabelled: Pyoderma gangrenosum (PG) is a rare, noninfectious, inflammatory dermatosis usually associated with autoimmune disorders. Wounds may mimic a necrotizing infection, and the diagnosis is usually made after antibiotic therapy fails. Debridement may cause even larger wounds because of pather...
| Publicado en: | Aesthetic Surgery Journal Vol. 34; no. 3; pp. 394 - 400 |
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| Autores principales: | , |
| Formato: | case study Journal Article |
| Publicado: |
Oxford University Press / USA
Mar2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103814767&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103814767 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1090820X 1XDY jtl: Aesthetic Surgery Journal issn: 1090820X maglogo: N pubinfo: dt: Mar2014 vid: 34 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 103814767 NLM24448967 2012525758 10.1177/1090820X13520448 NLM24448967 103814767 ppf: 394 ppct: 6 formats: tig: atl: Pyoderma gangrenosum following breast reduction: treatment with topical tacrolimus and steroids. aug: au: Doren, Erin Louise Aya-Ay, Melanie Lynn affil: Dr Doren is an Integrated Plastic Surgery Resident in the Department of Surgery, Division of Plastic Surgery, University of South Florida, Tampa, Florida. sug: subj: Breast Diseases Etiology Immunosuppressive Agents Therapeutic Use Breast Reconstruction Adverse Effects Pyoderma Gangrenosum Etiology Breast Diseases Drug Therapy Breast Diseases Pathology Female Glucocorticoids Therapeutic Use Immunosuppressive Agents Administration and Dosage Middle Age Prednisone Therapeutic Use Pyoderma Gangrenosum Drug Therapy Pyoderma Gangrenosum Pathology Tacrolimus Administration and Dosage Tacrolimus Therapeutic Use Treatment Outcomes Middle Aged: 45-64 years Female ab: Unlabelled: Pyoderma gangrenosum (PG) is a rare, noninfectious, inflammatory dermatosis usually associated with autoimmune disorders. Wounds may mimic a necrotizing infection, and the diagnosis is usually made after antibiotic therapy fails. Debridement may cause even larger wounds because of pathergy, so PG treatment consists of corticosteroids and local wound care. Pyoderma gangrenosum can be a devastating complication of breast and aesthetic surgery. We describe a case of PG following unilateral breast reduction that resulted in systemic inflammatory response; after treatment with prednisone and topical tacrolimus, the PG was resolved. The application of topical tacrolimus may reduce the need for prolonged corticosteroids.Level Of Evidence: 5. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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