Wanich Tony, Swanson Andrew N, Wyatt Angela J, Kelly Anne M
Albert Einstein College of Medicine, Montefiore Medical Center, Department of Orthopaedics, Bronx, New York 10461, USA.
Am J Orthop (Belle Mead NJ). 2012 Jan;41(1):E4-9.
Postoperative pyoderma gangrenosum (PG) is an unusual and devastating complication following surgical procedures. This frequently misdiagnosed entity can progress rapidly if not identified and treated appropriately. A heightened awareness for the diagnosis of PG, coupled with a multidisciplinary approach to the disease, is essential to proper management of this entity. We report on a patient who developed postoperative PG following open repair of a patellar tendon rupture. The follow-up period was 2 years, and a review of the current literature is presented. The diagnosis of PG was confirmed by tissue biopsy, and the condition was treated with high-dose prednisone and dapsone, with complete resolution of symptoms. PG should be part of the differential diagnosis when evaluating patients with postoperative wound complications. Awareness of PG is the key to diagnosis and treatment of this potentially devastating complication.
术后坏疽性脓皮病（PG）是外科手术后一种罕见且严重的并发症。这个常被误诊的疾病若未得到正确识别和治疗，可能会迅速发展。提高对PG诊断的认识，并采取多学科方法治疗该疾病，对于妥善处理这一病症至关重要。我们报告了一例在髌腱断裂开放修复术后发生术后PG的患者。随访期为2年，并对当前文献进行了综述。PG的诊断通过组织活检得以证实，该病症采用大剂量泼尼松和氨苯砜治疗，症状完全缓解。在评估有术后伤口并发症的患者时，PG应作为鉴别诊断的一部分。认识到PG是诊断和治疗这种潜在严重并发症的关键。
