Pyoderma gangrenosum after immediate deep inferior epigastric perforator flap breast reconstruction: a case report
Abstract Pyoderma gangrenosum is a rare skin condition which is difficult to diagnose as it often presents similarly to common complications such as wound infection, tissue ischemia and necrotizing fasciitis. We present a patient who underwent immediate DIEP free flap breast reconstruction and devel...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Sayed, Md Abu [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2021 |
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| Schlagwörter: |
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| Anmerkung: |
© Crown 2021 |
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| Übergeordnetes Werk: |
Enthalten in: European journal of plastic surgery - Berlin : Springer, 1986, 45(2021), 4 vom: 10. Sept., Seite 655-660 |
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| Übergeordnetes Werk: |
volume:45 ; year:2021 ; number:4 ; day:10 ; month:09 ; pages:655-660 |
| Links: |
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| DOI / URN: |
10.1007/s00238-021-01882-6 |
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| Katalog-ID: |
SPR047735082 |
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| 520 | |a Abstract Pyoderma gangrenosum is a rare skin condition which is difficult to diagnose as it often presents similarly to common complications such as wound infection, tissue ischemia and necrotizing fasciitis. We present a patient who underwent immediate DIEP free flap breast reconstruction and developed post-surgical pyoderma gangrenosum (PSPG), initially with non-characteristic signs and symptoms. Our patient first developed severe headache, fever and erythema surrounding her wound. The classical signs of painful ulcers with undermined bluish borders and surrounding violaceous rash were not seen for nearly 4 weeks. This, in combination with positive wound culture, made for a challenging diagnosis in an elective breast reconstruction patient. Diagnosis of PSPG relies on clinical signs first and is supported by wound swab culture and sensitivity and tissue biopsy for histopathology. The treatment of choice for PSPG is high-dose systemic steroids followed by an oral prednisolone taper over a period of 4–6 weeks. Early diagnosis of PSPG can optimize outcomes and reduce morbidity. We should consider PSPG as a differential diagnosis when post-operative wound infection is suspected, particularly if a non-classical pattern is seen. We could also consider discussion of PSPG as a rare, yet serious complication during the consent process. Level of evidence: Level V, diagnostic study. | ||
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| 650 | 4 | |a DIEP free flap |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Immediate breast reconstruction |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Wain, Richard A. J. |4 aut | |
| 700 | 1 | |a O’Ceallaigh, Siobhan |4 aut | |
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10.1007/s00238-021-01882-6 doi (DE-627)SPR047735082 (SPR)s00238-021-01882-6-e DE-627 ger DE-627 rakwb eng Sayed, Md Abu verfasserin (orcid)0000-0002-7426-6536 aut Pyoderma gangrenosum after immediate deep inferior epigastric perforator flap breast reconstruction: a case report 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Crown 2021 Abstract Pyoderma gangrenosum is a rare skin condition which is difficult to diagnose as it often presents similarly to common complications such as wound infection, tissue ischemia and necrotizing fasciitis. We present a patient who underwent immediate DIEP free flap breast reconstruction and developed post-surgical pyoderma gangrenosum (PSPG), initially with non-characteristic signs and symptoms. Our patient first developed severe headache, fever and erythema surrounding her wound. The classical signs of painful ulcers with undermined bluish borders and surrounding violaceous rash were not seen for nearly 4 weeks. This, in combination with positive wound culture, made for a challenging diagnosis in an elective breast reconstruction patient. Diagnosis of PSPG relies on clinical signs first and is supported by wound swab culture and sensitivity and tissue biopsy for histopathology. The treatment of choice for PSPG is high-dose systemic steroids followed by an oral prednisolone taper over a period of 4–6 weeks. Early diagnosis of PSPG can optimize outcomes and reduce morbidity. We should consider PSPG as a differential diagnosis when post-operative wound infection is suspected, particularly if a non-classical pattern is seen. We could also consider discussion of PSPG as a rare, yet serious complication during the consent process. Level of evidence: Level V, diagnostic study. Pyoderma gangrenosum (dpeaa)DE-He213 Post-surgical pyoderma gangrenosum (dpeaa)DE-He213 DIEP free flap (dpeaa)DE-He213 Immediate breast reconstruction (dpeaa)DE-He213 Wain, Richard A. J. aut O’Ceallaigh, Siobhan aut Enthalten in European journal of plastic surgery Berlin : Springer, 1986 45(2021), 4 vom: 10. Sept., Seite 655-660 (DE-627)265508436 (DE-600)1464220-7 1435-0130 nnns volume:45 year:2021 number:4 day:10 month:09 pages:655-660 https://dx.doi.org/10.1007/s00238-021-01882-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 45 2021 4 10 09 655-660 |
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10.1007/s00238-021-01882-6 doi (DE-627)SPR047735082 (SPR)s00238-021-01882-6-e DE-627 ger DE-627 rakwb eng Sayed, Md Abu verfasserin (orcid)0000-0002-7426-6536 aut Pyoderma gangrenosum after immediate deep inferior epigastric perforator flap breast reconstruction: a case report 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Crown 2021 Abstract Pyoderma gangrenosum is a rare skin condition which is difficult to diagnose as it often presents similarly to common complications such as wound infection, tissue ischemia and necrotizing fasciitis. We present a patient who underwent immediate DIEP free flap breast reconstruction and developed post-surgical pyoderma gangrenosum (PSPG), initially with non-characteristic signs and symptoms. Our patient first developed severe headache, fever and erythema surrounding her wound. The classical signs of painful ulcers with undermined bluish borders and surrounding violaceous rash were not seen for nearly 4 weeks. This, in combination with positive wound culture, made for a challenging diagnosis in an elective breast reconstruction patient. Diagnosis of PSPG relies on clinical signs first and is supported by wound swab culture and sensitivity and tissue biopsy for histopathology. The treatment of choice for PSPG is high-dose systemic steroids followed by an oral prednisolone taper over a period of 4–6 weeks. Early diagnosis of PSPG can optimize outcomes and reduce morbidity. We should consider PSPG as a differential diagnosis when post-operative wound infection is suspected, particularly if a non-classical pattern is seen. We could also consider discussion of PSPG as a rare, yet serious complication during the consent process. Level of evidence: Level V, diagnostic study. Pyoderma gangrenosum (dpeaa)DE-He213 Post-surgical pyoderma gangrenosum (dpeaa)DE-He213 DIEP free flap (dpeaa)DE-He213 Immediate breast reconstruction (dpeaa)DE-He213 Wain, Richard A. J. aut O’Ceallaigh, Siobhan aut Enthalten in European journal of plastic surgery Berlin : Springer, 1986 45(2021), 4 vom: 10. Sept., Seite 655-660 (DE-627)265508436 (DE-600)1464220-7 1435-0130 nnns volume:45 year:2021 number:4 day:10 month:09 pages:655-660 https://dx.doi.org/10.1007/s00238-021-01882-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 45 2021 4 10 09 655-660 |
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10.1007/s00238-021-01882-6 doi (DE-627)SPR047735082 (SPR)s00238-021-01882-6-e DE-627 ger DE-627 rakwb eng Sayed, Md Abu verfasserin (orcid)0000-0002-7426-6536 aut Pyoderma gangrenosum after immediate deep inferior epigastric perforator flap breast reconstruction: a case report 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Crown 2021 Abstract Pyoderma gangrenosum is a rare skin condition which is difficult to diagnose as it often presents similarly to common complications such as wound infection, tissue ischemia and necrotizing fasciitis. We present a patient who underwent immediate DIEP free flap breast reconstruction and developed post-surgical pyoderma gangrenosum (PSPG), initially with non-characteristic signs and symptoms. Our patient first developed severe headache, fever and erythema surrounding her wound. The classical signs of painful ulcers with undermined bluish borders and surrounding violaceous rash were not seen for nearly 4 weeks. This, in combination with positive wound culture, made for a challenging diagnosis in an elective breast reconstruction patient. Diagnosis of PSPG relies on clinical signs first and is supported by wound swab culture and sensitivity and tissue biopsy for histopathology. The treatment of choice for PSPG is high-dose systemic steroids followed by an oral prednisolone taper over a period of 4–6 weeks. Early diagnosis of PSPG can optimize outcomes and reduce morbidity. We should consider PSPG as a differential diagnosis when post-operative wound infection is suspected, particularly if a non-classical pattern is seen. We could also consider discussion of PSPG as a rare, yet serious complication during the consent process. Level of evidence: Level V, diagnostic study. Pyoderma gangrenosum (dpeaa)DE-He213 Post-surgical pyoderma gangrenosum (dpeaa)DE-He213 DIEP free flap (dpeaa)DE-He213 Immediate breast reconstruction (dpeaa)DE-He213 Wain, Richard A. J. aut O’Ceallaigh, Siobhan aut Enthalten in European journal of plastic surgery Berlin : Springer, 1986 45(2021), 4 vom: 10. Sept., Seite 655-660 (DE-627)265508436 (DE-600)1464220-7 1435-0130 nnns volume:45 year:2021 number:4 day:10 month:09 pages:655-660 https://dx.doi.org/10.1007/s00238-021-01882-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 45 2021 4 10 09 655-660 |
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10.1007/s00238-021-01882-6 doi (DE-627)SPR047735082 (SPR)s00238-021-01882-6-e DE-627 ger DE-627 rakwb eng Sayed, Md Abu verfasserin (orcid)0000-0002-7426-6536 aut Pyoderma gangrenosum after immediate deep inferior epigastric perforator flap breast reconstruction: a case report 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Crown 2021 Abstract Pyoderma gangrenosum is a rare skin condition which is difficult to diagnose as it often presents similarly to common complications such as wound infection, tissue ischemia and necrotizing fasciitis. We present a patient who underwent immediate DIEP free flap breast reconstruction and developed post-surgical pyoderma gangrenosum (PSPG), initially with non-characteristic signs and symptoms. Our patient first developed severe headache, fever and erythema surrounding her wound. The classical signs of painful ulcers with undermined bluish borders and surrounding violaceous rash were not seen for nearly 4 weeks. This, in combination with positive wound culture, made for a challenging diagnosis in an elective breast reconstruction patient. Diagnosis of PSPG relies on clinical signs first and is supported by wound swab culture and sensitivity and tissue biopsy for histopathology. The treatment of choice for PSPG is high-dose systemic steroids followed by an oral prednisolone taper over a period of 4–6 weeks. Early diagnosis of PSPG can optimize outcomes and reduce morbidity. We should consider PSPG as a differential diagnosis when post-operative wound infection is suspected, particularly if a non-classical pattern is seen. We could also consider discussion of PSPG as a rare, yet serious complication during the consent process. Level of evidence: Level V, diagnostic study. Pyoderma gangrenosum (dpeaa)DE-He213 Post-surgical pyoderma gangrenosum (dpeaa)DE-He213 DIEP free flap (dpeaa)DE-He213 Immediate breast reconstruction (dpeaa)DE-He213 Wain, Richard A. J. aut O’Ceallaigh, Siobhan aut Enthalten in European journal of plastic surgery Berlin : Springer, 1986 45(2021), 4 vom: 10. Sept., Seite 655-660 (DE-627)265508436 (DE-600)1464220-7 1435-0130 nnns volume:45 year:2021 number:4 day:10 month:09 pages:655-660 https://dx.doi.org/10.1007/s00238-021-01882-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 45 2021 4 10 09 655-660 |
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10.1007/s00238-021-01882-6 doi (DE-627)SPR047735082 (SPR)s00238-021-01882-6-e DE-627 ger DE-627 rakwb eng Sayed, Md Abu verfasserin (orcid)0000-0002-7426-6536 aut Pyoderma gangrenosum after immediate deep inferior epigastric perforator flap breast reconstruction: a case report 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Crown 2021 Abstract Pyoderma gangrenosum is a rare skin condition which is difficult to diagnose as it often presents similarly to common complications such as wound infection, tissue ischemia and necrotizing fasciitis. We present a patient who underwent immediate DIEP free flap breast reconstruction and developed post-surgical pyoderma gangrenosum (PSPG), initially with non-characteristic signs and symptoms. Our patient first developed severe headache, fever and erythema surrounding her wound. The classical signs of painful ulcers with undermined bluish borders and surrounding violaceous rash were not seen for nearly 4 weeks. This, in combination with positive wound culture, made for a challenging diagnosis in an elective breast reconstruction patient. Diagnosis of PSPG relies on clinical signs first and is supported by wound swab culture and sensitivity and tissue biopsy for histopathology. The treatment of choice for PSPG is high-dose systemic steroids followed by an oral prednisolone taper over a period of 4–6 weeks. Early diagnosis of PSPG can optimize outcomes and reduce morbidity. We should consider PSPG as a differential diagnosis when post-operative wound infection is suspected, particularly if a non-classical pattern is seen. We could also consider discussion of PSPG as a rare, yet serious complication during the consent process. Level of evidence: Level V, diagnostic study. Pyoderma gangrenosum (dpeaa)DE-He213 Post-surgical pyoderma gangrenosum (dpeaa)DE-He213 DIEP free flap (dpeaa)DE-He213 Immediate breast reconstruction (dpeaa)DE-He213 Wain, Richard A. J. aut O’Ceallaigh, Siobhan aut Enthalten in European journal of plastic surgery Berlin : Springer, 1986 45(2021), 4 vom: 10. Sept., Seite 655-660 (DE-627)265508436 (DE-600)1464220-7 1435-0130 nnns volume:45 year:2021 number:4 day:10 month:09 pages:655-660 https://dx.doi.org/10.1007/s00238-021-01882-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 45 2021 4 10 09 655-660 |
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Enthalten in European journal of plastic surgery 45(2021), 4 vom: 10. Sept., Seite 655-660 volume:45 year:2021 number:4 day:10 month:09 pages:655-660 |
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Sayed, Md Abu @@aut@@ Wain, Richard A. J. @@aut@@ O’Ceallaigh, Siobhan @@aut@@ |
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We present a patient who underwent immediate DIEP free flap breast reconstruction and developed post-surgical pyoderma gangrenosum (PSPG), initially with non-characteristic signs and symptoms. Our patient first developed severe headache, fever and erythema surrounding her wound. The classical signs of painful ulcers with undermined bluish borders and surrounding violaceous rash were not seen for nearly 4 weeks. This, in combination with positive wound culture, made for a challenging diagnosis in an elective breast reconstruction patient. Diagnosis of PSPG relies on clinical signs first and is supported by wound swab culture and sensitivity and tissue biopsy for histopathology. The treatment of choice for PSPG is high-dose systemic steroids followed by an oral prednisolone taper over a period of 4–6 weeks. Early diagnosis of PSPG can optimize outcomes and reduce morbidity. 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Sayed, Md Abu |
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Sayed, Md Abu misc Pyoderma gangrenosum misc Post-surgical pyoderma gangrenosum misc DIEP free flap misc Immediate breast reconstruction Pyoderma gangrenosum after immediate deep inferior epigastric perforator flap breast reconstruction: a case report |
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Pyoderma gangrenosum after immediate deep inferior epigastric perforator flap breast reconstruction: a case report Pyoderma gangrenosum (dpeaa)DE-He213 Post-surgical pyoderma gangrenosum (dpeaa)DE-He213 DIEP free flap (dpeaa)DE-He213 Immediate breast reconstruction (dpeaa)DE-He213 |
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misc Pyoderma gangrenosum misc Post-surgical pyoderma gangrenosum misc DIEP free flap misc Immediate breast reconstruction |
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Pyoderma gangrenosum after immediate deep inferior epigastric perforator flap breast reconstruction: a case report |
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pyoderma gangrenosum after immediate deep inferior epigastric perforator flap breast reconstruction: a case report |
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Pyoderma gangrenosum after immediate deep inferior epigastric perforator flap breast reconstruction: a case report |
| abstract |
Abstract Pyoderma gangrenosum is a rare skin condition which is difficult to diagnose as it often presents similarly to common complications such as wound infection, tissue ischemia and necrotizing fasciitis. We present a patient who underwent immediate DIEP free flap breast reconstruction and developed post-surgical pyoderma gangrenosum (PSPG), initially with non-characteristic signs and symptoms. Our patient first developed severe headache, fever and erythema surrounding her wound. The classical signs of painful ulcers with undermined bluish borders and surrounding violaceous rash were not seen for nearly 4 weeks. This, in combination with positive wound culture, made for a challenging diagnosis in an elective breast reconstruction patient. Diagnosis of PSPG relies on clinical signs first and is supported by wound swab culture and sensitivity and tissue biopsy for histopathology. The treatment of choice for PSPG is high-dose systemic steroids followed by an oral prednisolone taper over a period of 4–6 weeks. Early diagnosis of PSPG can optimize outcomes and reduce morbidity. We should consider PSPG as a differential diagnosis when post-operative wound infection is suspected, particularly if a non-classical pattern is seen. We could also consider discussion of PSPG as a rare, yet serious complication during the consent process. Level of evidence: Level V, diagnostic study. © Crown 2021 |
| abstractGer |
Abstract Pyoderma gangrenosum is a rare skin condition which is difficult to diagnose as it often presents similarly to common complications such as wound infection, tissue ischemia and necrotizing fasciitis. We present a patient who underwent immediate DIEP free flap breast reconstruction and developed post-surgical pyoderma gangrenosum (PSPG), initially with non-characteristic signs and symptoms. Our patient first developed severe headache, fever and erythema surrounding her wound. The classical signs of painful ulcers with undermined bluish borders and surrounding violaceous rash were not seen for nearly 4 weeks. This, in combination with positive wound culture, made for a challenging diagnosis in an elective breast reconstruction patient. Diagnosis of PSPG relies on clinical signs first and is supported by wound swab culture and sensitivity and tissue biopsy for histopathology. The treatment of choice for PSPG is high-dose systemic steroids followed by an oral prednisolone taper over a period of 4–6 weeks. Early diagnosis of PSPG can optimize outcomes and reduce morbidity. We should consider PSPG as a differential diagnosis when post-operative wound infection is suspected, particularly if a non-classical pattern is seen. We could also consider discussion of PSPG as a rare, yet serious complication during the consent process. Level of evidence: Level V, diagnostic study. © Crown 2021 |
| abstract_unstemmed |
Abstract Pyoderma gangrenosum is a rare skin condition which is difficult to diagnose as it often presents similarly to common complications such as wound infection, tissue ischemia and necrotizing fasciitis. We present a patient who underwent immediate DIEP free flap breast reconstruction and developed post-surgical pyoderma gangrenosum (PSPG), initially with non-characteristic signs and symptoms. Our patient first developed severe headache, fever and erythema surrounding her wound. The classical signs of painful ulcers with undermined bluish borders and surrounding violaceous rash were not seen for nearly 4 weeks. This, in combination with positive wound culture, made for a challenging diagnosis in an elective breast reconstruction patient. Diagnosis of PSPG relies on clinical signs first and is supported by wound swab culture and sensitivity and tissue biopsy for histopathology. The treatment of choice for PSPG is high-dose systemic steroids followed by an oral prednisolone taper over a period of 4–6 weeks. Early diagnosis of PSPG can optimize outcomes and reduce morbidity. We should consider PSPG as a differential diagnosis when post-operative wound infection is suspected, particularly if a non-classical pattern is seen. We could also consider discussion of PSPG as a rare, yet serious complication during the consent process. Level of evidence: Level V, diagnostic study. © Crown 2021 |
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Pyoderma gangrenosum after immediate deep inferior epigastric perforator flap breast reconstruction: a case report |
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https://dx.doi.org/10.1007/s00238-021-01882-6 |
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Wain, Richard A. J. O’Ceallaigh, Siobhan |
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10.1007/s00238-021-01882-6 |
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2024-07-03T14:38:40.294Z |
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| score |
7.4016075 |