Domej M A, Pauzenberger L, Heuberer P R, Anderl W
II. Orthopädische Abteilung, Herz-Jesu Krankenhaus Wien, Baumgasse 20A, 1030, Wien, Österreich.
Orthopade. 2017 Nov;46(11):963-968. doi: 10.1007/s00132-017-3468-5.
Pyoderma gangrenosum is an inflammatory, ulcerative, neutrophilic dermatosis that is clinically characterized by rapidly evolving, painful, necrotic skin lesions. It is typically associated with chronic systemic inflammatory or neoplastic diseases, but may also occur secondary to cutaneous injury or surgery (pathergy). Post-surgical pyoderma gangrenosum typically develops around surgical sites within the immediate postoperative period, mimicking early wound infection. However, common treatment strategies including antibiotics and debridement fail to improve or even worsen symptoms. Postoperative pyoderma gangrenosum has been most commonly reported from breast and visceral surgery. We present a case of postoperative pyoderma gangrenosum following total shoulder arthroplasty.
坏疽性脓皮病是一种炎症性、溃疡性、嗜中性皮病，临床特征为迅速发展的、疼痛性、坏死性皮肤病变。它通常与慢性全身性炎症或肿瘤性疾病相关，但也可能继发于皮肤损伤或手术（同形反应）。手术后坏疽性脓皮病通常在术后即刻在手术部位周围发生，类似早期伤口感染。然而，包括抗生素和清创术在内的常见治疗策略无法改善症状，甚至会使症状恶化。术后坏疽性脓皮病最常见于乳房和内脏手术。我们报告一例全肩关节置换术后发生坏疽性脓皮病的病例。
