Clugston P A, Thompson R P, Schlappner O L
Department of Surgery, St. Paul's Hospital, University of British Columbia, Vancouver.
Can J Surg. 1991 Apr;34(2):157-61.
The authors report a case of pyoderma gangrenosum in a 37-year-old woman that occurred at surgical sites after reduction mammoplasty. The diagnosis was delayed, but treatment with intralesional triamcinolone resulted in complete resolution o the condition. Pyoderma gangrenosum in this setting can mimic infectious causes of wound necrosis. Early recognition of its characteristics features may prevent unnecessary and ineffective treatment, thereby avoiding frustration for both patient and physician.
作者报告了一例37岁女性在乳房缩小成形术后手术部位发生坏疽性脓皮病的病例。诊断有所延迟,但病灶内注射曲安奈德治疗使病情完全缓解。这种情况下的坏疽性脓皮病可能会模仿伤口坏死的感染原因。早期识别其特征可能会避免不必要和无效的治疗,从而避免患者和医生双方的挫败感。