Singh Prateush, Tuffaha Sami H, Robbins Sanford H, Bonawitz Steven C
Department of Plastic and Reconstructive surgery, University of Cambridge, Addenbrooke's Hospital, CB2 0QQ, UK.
Department of Plastic and Reconstructive Surgery, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Gland Surg. 2017 Feb;6(1):101-104. doi: 10.21037/gs.2016.08.05.
Pyoderma gangrenosum (PG) is an uncommon disorder characterized by the development of painful cutaneous ulceration, commonly precipitated by dermal injury at surgical sites. It is a diagnostic challenge as it manifests as necrotizing wounds which are commonly misdiagnosed as postoperative wound infection or ischemia. We discuss the clinical features and histopathological findings that allow for rapid identification of PG following autologous breast reconstruction and suggest an algorithm to aid diagnosis.
坏疽性脓皮病(PG)是一种罕见的疾病,其特征为出现疼痛性皮肤溃疡,通常由手术部位的皮肤损伤诱发。它是一项诊断难题,因为其表现为坏死性伤口,常被误诊为术后伤口感染或缺血。我们讨论了自体乳房重建术后能快速识别PG的临床特征和组织病理学表现,并提出一种辅助诊断的算法。