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...
Main Authors: | , , , , |
---|---|
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/ |
_version_ | 1797977112659886080 |
---|---|
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. |
first_indexed | 2024-04-11T05:01:44Z |
format | Article |
id | doaj.art-30d8a975609c49f89aaa245ec140fec8 |
institution | Directory Open Access Journal |
issn | 2081-9390 |
language | English |
last_indexed | 2024-04-11T05:01:44Z |
publishDate | 2021-01-01 |
publisher | Our Dermatology Online |
record_format | Article |
series | Nasza Dermatologia Online |
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/ |
work_keys_str_mv | AT mariogastontoledolelevier postsurgicalpyodermagangrenosumfollowingelectrosurgeryandellipticalexcisionararediseasefollowingcommonprocedures AT raulgerardomendezflores postsurgicalpyodermagangrenosumfollowingelectrosurgeryandellipticalexcisionararediseasefollowingcommonprocedures AT luzmakareenajimenezleon postsurgicalpyodermagangrenosumfollowingelectrosurgeryandellipticalexcisionararediseasefollowingcommonprocedures AT teresaaranzazugomezcevallos postsurgicalpyodermagangrenosumfollowingelectrosurgeryandellipticalexcisionararediseasefollowingcommonprocedures AT marisolramirezpadilla postsurgicalpyodermagangrenosumfollowingelectrosurgeryandellipticalexcisionararediseasefollowingcommonprocedures |