"Pyoderma gangrenosum of the breast: A challenging diagnosis".
Pyoderma gangrenosum (PG) of the breast is a rare, ulcerative disease of rapid onset normally associated with systemic disorders and triggered by surgery or trauma. Pyoderma gangrenosum poses a diagnostic challenge. Early diagnosis and appropriate treatment are essential to minimize morbidity and se...
| Publicado en: | Breast Journal Vol. 26; no. 11; pp. 2188 - 2194 |
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| Autores principales: | , , |
| Formato: | case study diagnostic images pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2020
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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=147152209&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147152209 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1075122X ET6 jtl: Breast Journal issn: 1075122X maglogo: Y pubinfo: dt: Nov2020 vid: 26 iid: 11 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 147152209 145834297 147152209 147152209 10.1111/tbj.13984 147152209 ppf: 2188 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: "Pyoderma gangrenosum of the breast: A challenging diagnosis". aug: au: Cabañas Weisz, Laura M. Vicario Elorduy, Eduardo García Gutiérrez, Juan José affil: Department of Plastic Surgery, Cruces University Hospital, Baracaldo, Spain sug: subj: Pyoderma Gangrenosum Diagnosis Breast Surgery Postoperative Complications Early Diagnosis Cyclosporine Therapeutic Use Treatment Outcomes Human Retrospective Design Histological Techniques Biopsy, Needle Antibiotics Therapeutic Use Adrenal Cortex Hormones Therapeutic Use Diagnosis, Delayed Immunosuppression ab: Pyoderma gangrenosum (PG) of the breast is a rare, ulcerative disease of rapid onset normally associated with systemic disorders and triggered by surgery or trauma. Pyoderma gangrenosum poses a diagnostic challenge. Early diagnosis and appropriate treatment are essential to minimize morbidity and sequelae. We performed a retrospective review of all breast PG cases admitted to Cruces University Hospital over a 5‐year (2015‐2019) period. Medical history, clinical course, and management strategies were assessed. Three patients were analyzed. None of them had previous surgery. No definitive etiology was identified in one case, and the other two were probably biopsy‐driven. Histological findings were reported as nonspecific. Similar skin lesions elsewhere on the body and resistance to wide‐spectrum antibiotic therapy were observed. These features raised awareness on the diagnosis of PG. Ulcerations healed completely within 2 months following treatment with Cyclosporine A or corticosteroid therapy. A complicated late‐diagnosis case that presented with advanced breast and forearm necrosis was managed with steroids followed by trans‐forearm amputation and mastectomy. The breast is an unusual site for PG, but this differential diagnosis should be considered in the presence of breast ulceration. In patients with a strong clinical and histological PG suspicion, we suggest early management with systemic corticosteroids and immunosuppressive therapy prior to any surgical debridement to minimize morbidity and poor esthetic outcomes. pubtype: Academic Journal doctype: case study diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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