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Pyoderma Gangrenosum as Differential Diagnosis to Post-Operative Infection after Breast Plastic Surgery.

Background:Pyoderma gangrenosum is a scarce ulcerating inflammatory skin disease, which requires excluding other causes of ulceration such as infections, malignancies or connective tissue diseases. Case Report: We report the case of a 38-year-old woman who developed a progressive bilateral breast sk...

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Published in:Surgical Infections Vol. 23; no. 6; pp. 604 - 607
Main Authors: Coste, Victor, Klopfenstein, Timothée, Andreoletti, Jean-Baptiste, Clerc, Johanna, Noel, Albin Chevet, Gendrin, Vincent, Ducournau, Anne, Zayet, Souheil
Format: case study Journal Article
Published: Mary Ann Liebert, Inc. Aug2022
Online Access:View this record in EBSCOhost
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      dt: Aug2022
      vid: 23
      iid: 6
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      pub: Mary Ann Liebert, Inc.
      place: New Rochelle, New York
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        10.1089/sur.2021.307
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        atl: Pyoderma Gangrenosum as Differential Diagnosis to Post-Operative Infection after Breast Plastic Surgery.
      aug:
        au:
          Coste, Victor
          Klopfenstein, Timothée
          Andreoletti, Jean-Baptiste
          Clerc, Johanna
          Noel, Albin Chevet
          Gendrin, Vincent
          Ducournau, Anne
          Zayet, Souheil
        affil: Infectious Disease Department, Nord Franche-Comté Hospital, Trevenans, France.
      sug:
        subj:
          Pyoderma Gangrenosum Diagnosis
          Pyoderma Gangrenosum Drug Therapy
          Pyoderma Gangrenosum Etiology
          Surgery, Plastic
          Breast Reconstruction Adverse Effects
          Postoperative Complications Diagnosis
          Postoperative Complications Etiology
          Female
          Adult
          Diagnosis, Differential
          Scales
          Adult: 19-44 years
          Female
      ab: Background:Pyoderma gangrenosum is a scarce ulcerating inflammatory skin disease, which requires excluding other causes of ulceration such as infections, malignancies or connective tissue diseases. Case Report: We report the case of a 38-year-old woman who developed a progressive bilateral breast skin ulcer after breast plastic surgery, suspected initially with an early postoperative infection. The lack of improvement despite adequate antimicrobial drugs conducted to perform a skin biopsy, concluding to an ulcerated neutrophil dermatosis which led to the diagnosis of postoperative pyoderma gangrenosum. The clinical course was favorable with a systemic treatment based on steroids. Conclusions: In order to prevent debridement and extension of local complications, this case report illustrates the importance to suspect pyoderma gangrenosum as differential diagnosis of infection after surgery.
      pubtype: Academic Journal
      doctype:
        case study
        Journal Article
      ougenre: Article
    language: English
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