Aesthetic Plastic Surgery

, Volume 36, Issue 6, pp 1347–1352 | Cite as

Postsurgical Pyoderma Gangrenosum Complicating Reduction Mammaplasty

  • Marcos Artigas Grillo
  • Thiego Teixeira Cavalheiro
  • Marcelo da Silva Mulazani
  • Jaime Luis Lopes Rocha
  • Denise Semchechen
  • Clovis Arns da Cunha
Case Report Breast

Abstract

Reduction mammaplasty is one of the most common surgeries performed by plastic surgeons. It relieves back and neck pain and improves the aesthetic contour of the ptotic breast. Postsurgical pyoderma gangrenosum (PSPG) is an unusual inflammatory disorder leading to rapidly progressive skin necrosis that can occur after any surgical procedure. The skin lesions have the characteristic appearance of ulcers with a purple-colored border and erythematous halo. Clinically, the patient has a low fever and severe local pain. In the majority of cases this disease is misdiagnosed as severe infection leading to improper debridement, exacerbating the problem. The mainstay of therapy for PSPG is still nonoperative and focuses on immunosuppressive medications and local wound care, which allows healing in the majority of the cases. It is important for plastic surgeons and infectologists to be cognizant of this entity, as a delay in diagnosis and management can be life-threatening and lead to considerable tissue loss and disfigurement of the breast. The authors report a case of reduction mammaplasty complicated with PSPG and its treatment.

Level of Evidence V

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Keywords

Breast reduction Postsurgical pyoderma gangrenosum Pathergy Mammaplasty/adverse effects 

Notes

Conflict of interest

The authors have no conflicts of interest to disclose.

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Copyright information

© Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2012

Authors and Affiliations

  • Marcos Artigas Grillo
    • 1
  • Thiego Teixeira Cavalheiro
    • 2
  • Marcelo da Silva Mulazani
    • 2
  • Jaime Luis Lopes Rocha
    • 2
  • Denise Semchechen
    • 2
  • Clovis Arns da Cunha
    • 2
  1. 1.Clínica de Cirurgia Plástica Dr. Marcos GrilloAvenida Sete de SetembroCuritibaBrazil
  2. 2.Department of InfectologyHospital Nossa Senhora das Graças, Rua Alcides MunhozCuritibaBrazil

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