Postoperative pyoderma gangrenosum (PG): the Mayo Clinic experience of 20 years from 1994 through 2014.
Background: Postoperative pyoderma gangrenosum (PG) is a neutrophilic dermatosis characterized by the development of PG-type lesions within surgical sites.Objective: We sought to characterize postoperative PG as a distinct subtype of PG for earlier recognition and prevention of improper therapy.Meth...
| Publicado en: | Journal of the American Academy of Dermatology Vol. 73; no. 4; pp. 615 - 623 |
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| Autores principales: | , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Oct2015
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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=109445232&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109445232 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01909622 1ZF jtl: Journal of the American Academy of Dermatology issn: 01909622 maglogo: N pubinfo: dt: Oct2015 vid: 73 iid: 4 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 109445232 109445232 NLM26209218 109445232 10.1016/j.jaad.2015.06.054 NLM26209218 109445232 ppf: 615 ppct: 8 formats: tig: atl: Postoperative pyoderma gangrenosum (PG): the Mayo Clinic experience of 20 years from 1994 through 2014. aug: au: Tolkachjov, Stanislav N. Fahy, Aodhnait S. Wetter, David A. Brough, Kevin R. Bridges, Alina G. Davis, Mark D.P. el-Azhary, Rokea A. McEvoy, Marian T. Camilleri, Michael J. affil: Department of Dermatology, Mayo Clinic, Rochester, Minnesota sug: subj: Pyoderma Gangrenosum Epidemiology Pyoderma Gangrenosum Therapy Surgery, Operative Adverse Effects Postoperative Complications Therapy Postoperative Complications Epidemiology Demography Prospective Studies Risk Assessment Early Diagnosis Academic Medical Centers Female Treatment Outcomes Surgery, Operative Classification Male Prevalence Aged Adult Pyoderma Gangrenosum Etiology Retrospective Design Severity of Illness Indices Middle Age Postoperative Complications Diagnosis Resource Databases Human Aged: 65+ years Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Background: Postoperative pyoderma gangrenosum (PG) is a neutrophilic dermatosis characterized by the development of PG-type lesions within surgical sites.Objective: We sought to characterize postoperative PG as a distinct subtype of PG for earlier recognition and prevention of improper therapy.Methods: We conducted a retrospective chart review of patients with nonperistomal postoperative PG at Mayo Clinic from 1994 to 2014.xResults: Eighteen patients had postoperative PG with an average age of 58 years. Fifteen (83%) were female. Among patients with postoperative PG, 4 (22%) had an associated systemic disease traditionally associated with PG. Sites of postoperative PG included 7 breast (38%), 7 abdomen (38%), 1 back, 1 shoulder, 1 ankle, and 1 scrotum, witxxh breast reconstruction being the most common surgery. The average time to symptoms was 11 days. No patients had a fever. Eight (44%) had documented anemia and 5 (27%) had leukocytosis. Antibiotics and systemic corticosteroids were initiated in 10 (56%) and 14 (83%), respectively. Debridement was done in 11 (61%) patients.Limitations: Small sample size and retrospective study are limitations.Conclusion: Postoperative PG is a rare surgical complication with predilection for the breast and abdomen of females and has less association with systemic disease than idiopathic PG. Early recognition may prevent unnecessary debridements and morbidity. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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