Post-surgical pyoderma gangrenosum following electrosurgery and elliptical excision: A rare disease following common procedures

Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis with an estimated annual incidence of 3–10 cases per million per year. Post-surgical pyoderma gangrenosum (PSPG) refers to the development of pyoderma gangrenosum at surgical sites in the postoperative period. A 55-year-old female...

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Main Authors: Mario Gaston Toledo Lelevier, Raul Gerardo Mendez Flores, Luzma Kareena Jimenez Leon, Teresa Aranzazu Gomez Cevallos, Marisol Ramirez Padilla
Format: Article
Language:English
Published: Our Dermatology Online 2021-01-01
Series:Nasza Dermatologia Online
Online Access:http://www.odermatol.com/issue-in-html/2021-1-14-pyoderma_gangrenosum/
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author Mario Gaston Toledo Lelevier
Raul Gerardo Mendez Flores
Luzma Kareena Jimenez Leon
Teresa Aranzazu Gomez Cevallos
Marisol Ramirez Padilla
author_facet Mario Gaston Toledo Lelevier
Raul Gerardo Mendez Flores
Luzma Kareena Jimenez Leon
Teresa Aranzazu Gomez Cevallos
Marisol Ramirez Padilla
author_sort Mario Gaston Toledo Lelevier
collection DOAJ
description Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis with an estimated annual incidence of 3–10 cases per million per year. Post-surgical pyoderma gangrenosum (PSPG) refers to the development of pyoderma gangrenosum at surgical sites in the postoperative period. A 55-year-old female was admitted with two acute and enlarging painful breast ulcerations resistant to antibiotic treatment following surgical resection and electrofulguration by her dermatologist. Multiple wound cultures were negative. A skin biopsy was consistent with PG and the wounds improved after adequate oral immunosuppressive therapy. A high index of suspicion, exclusion of other differential diagnoses, and previous experience with this disease ensured an early diagnosis, prevented injury to life and unnecessary debridement, and resulted in an excellent outcome for the patient.
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spelling doaj.art-30d8a975609c49f89aaa245ec140fec82022-12-25T16:09:45ZengOur Dermatology OnlineNasza Dermatologia Online2081-93902021-01-01121545710.7241/ourd.20211.14Post-surgical pyoderma gangrenosum following electrosurgery and elliptical excision: A rare disease following common proceduresMario Gaston Toledo LelevierRaul Gerardo Mendez FloresLuzma Kareena Jimenez LeonTeresa Aranzazu Gomez CevallosMarisol Ramirez Padilla Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis with an estimated annual incidence of 3–10 cases per million per year. Post-surgical pyoderma gangrenosum (PSPG) refers to the development of pyoderma gangrenosum at surgical sites in the postoperative period. A 55-year-old female was admitted with two acute and enlarging painful breast ulcerations resistant to antibiotic treatment following surgical resection and electrofulguration by her dermatologist. Multiple wound cultures were negative. A skin biopsy was consistent with PG and the wounds improved after adequate oral immunosuppressive therapy. A high index of suspicion, exclusion of other differential diagnoses, and previous experience with this disease ensured an early diagnosis, prevented injury to life and unnecessary debridement, and resulted in an excellent outcome for the patient.http://www.odermatol.com/issue-in-html/2021-1-14-pyoderma_gangrenosum/
spellingShingle Mario Gaston Toledo Lelevier
Raul Gerardo Mendez Flores
Luzma Kareena Jimenez Leon
Teresa Aranzazu Gomez Cevallos
Marisol Ramirez Padilla
Post-surgical pyoderma gangrenosum following electrosurgery and elliptical excision: A rare disease following common procedures
Nasza Dermatologia Online
title Post-surgical pyoderma gangrenosum following electrosurgery and elliptical excision: A rare disease following common procedures
title_full Post-surgical pyoderma gangrenosum following electrosurgery and elliptical excision: A rare disease following common procedures
title_fullStr Post-surgical pyoderma gangrenosum following electrosurgery and elliptical excision: A rare disease following common procedures
title_full_unstemmed Post-surgical pyoderma gangrenosum following electrosurgery and elliptical excision: A rare disease following common procedures
title_short Post-surgical pyoderma gangrenosum following electrosurgery and elliptical excision: A rare disease following common procedures
title_sort post surgical pyoderma gangrenosum following electrosurgery and elliptical excision a rare disease following common procedures
url http://www.odermatol.com/issue-in-html/2021-1-14-pyoderma_gangrenosum/
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AT raulgerardomendezflores postsurgicalpyodermagangrenosumfollowingelectrosurgeryandellipticalexcisionararediseasefollowingcommonprocedures
AT luzmakareenajimenezleon postsurgicalpyodermagangrenosumfollowingelectrosurgeryandellipticalexcisionararediseasefollowingcommonprocedures
AT teresaaranzazugomezcevallos postsurgicalpyodermagangrenosumfollowingelectrosurgeryandellipticalexcisionararediseasefollowingcommonprocedures
AT marisolramirezpadilla postsurgicalpyodermagangrenosumfollowingelectrosurgeryandellipticalexcisionararediseasefollowingcommonprocedures