关键词: breast free flaps mammaplasty pyoderma gangrenosum wounds

来  源:   DOI:10.7759/cureus.62361   PDF(Pubmed)

Abstract:
Pyoderma gangrenosum (PG) is a rare and persistent neutrophilic dermatosis with an unknown cause. The condition typically manifests clinically as a pustule or plaque that quickly evolves into a necrotic ulcer with undermined violet-colored margins. A surgical debridement might worsen the disease due to the pathergy phenomenon. This case report presents a 48-year-old woman who underwent a late breast reconstruction with a transverse rectus abdominis myocutaneous flap and was subsequently diagnosed with PG. The report details the delays in the diagnosis and management of the disease, providing a comprehensive account of the course of events.
摘要:
坏疽性脓皮病(PG)是一种罕见且持续的中性粒细胞性皮肤病,原因不明。这种情况通常在临床上表现为脓疱或斑块,迅速演变为坏死性溃疡,紫色边缘受损。手术清创术可能会由于动脉粥样硬化现象而使疾病恶化。该病例报告介绍了一名48岁的妇女,该妇女接受了腹直肌肌皮瓣的晚期乳房重建,随后被诊断为PG。该报告详细介绍了该疾病的诊断和管理方面的延误,提供事件过程的全面描述。
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