Urman Christine O, Ashby-Richardson Harty, Thakker Priya S
Tufts Medical Center, 800 Washington St, Box 114, Boston, MA 02111, USA.
Cutis. 2014 May;93(5):261-3.
Pyoderma gangrenosum (PG) is a neutrophilic dermatosis that is a rare complication of surgery. Its diagnosis and treatment often are delayed in the postsurgical setting; by the time a dermatologist is consulted, lesions often are quite large and may be accompanied by systemic symptoms. Prompt treatment of severe PG with systemic therapy is warranted; however, in patients with contraindications to systemic immunosuppressive agents, treatment with superpotent topical corticosteroids may be considered. We present a case of PG following gastric bypass surgery along with a review of the literature on postsurgical PG.
坏疽性脓皮病（PG）是一种嗜中性皮病，是手术罕见的并发症。在术后环境中，其诊断和治疗常常延迟；当咨询皮肤科医生时，病变往往已经很大，并且可能伴有全身症状。对于严重的PG，有必要进行全身治疗；然而，对于有全身免疫抑制剂禁忌证的患者，可以考虑使用超强效外用皮质类固醇进行治疗。我们报告一例胃旁路手术后发生PG的病例，并对术后PG的文献进行综述。
