Infectious Disease Department, Nord Franche-Comté Hospital, Trevenans, France.
Plastic Surgery Department, Nord Franche-Comté Hospital, Trevenans, France.
Surg Infect (Larchmt). 2022 Aug;23(6):604-606. doi: 10.1089/sur.2021.307. Epub 2022 Jun 1.
is a scarce ulcerating inflammatory skin disease, which requires excluding other causes of ulceration such as infections, malignancies or connective tissue diseases. We report the case of a 38-year-old woman who developed a progressive bilateral breast skin ulcer after breast plastic surgery, suspected initially with an early postoperative infection. The lack of improvement despite adequate antimicrobial drugs conducted to perform a skin biopsy, concluding to an ulcerated neutrophil dermatosis which led to the diagnosis of postoperative . The clinical course was favorable with a systemic treatment based on steroids. In order to prevent debridement and extension of local complications, this case report illustrates the importance to suspect as differential diagnosis of infection after surgery.
是一种罕见的溃疡性炎症性皮肤病，需要排除其他引起溃疡的原因，如感染、恶性肿瘤或结缔组织疾病。我们报告了一例 38 岁女性，在乳房整形手术后出现双侧乳房皮肤进行性溃疡，最初怀疑为早期术后感染。尽管使用了适当的抗菌药物，但病情仍未见改善，因此进行了皮肤活检，结果诊断为溃疡性中性粒细胞皮肤病，这导致了术后 的诊断。患者接受了基于类固醇的全身性治疗，临床病程良好。为了防止清创和局部并发症的扩散，本病例报告说明了在手术后怀疑 作为感染的鉴别诊断的重要性。
