Yanıkoğlu Erkan, Ekinci Can, Kose Aydan A
Plastic, Reconstructive and Esthetic Surgery, Osmangazi University School of Medicine, Eskişehir, TUR.
Cureus. 2024 Jun 14;16(6):e62361. doi: 10.7759/cureus.62361. eCollection 2024 Jun.
Pyoderma gangrenosum (PG) is a rare and persistent neutrophilic dermatosis with an unknown cause. The condition typically manifests clinically as a pustule or plaque that quickly evolves into a necrotic ulcer with undermined violet-colored margins. A surgical debridement might worsen the disease due to the pathergy phenomenon. This case report presents a 48-year-old woman who underwent a late breast reconstruction with a transverse rectus abdominis myocutaneous flap and was subsequently diagnosed with PG. The report details the delays in the diagnosis and management of the disease, providing a comprehensive account of the course of events.
坏疽性脓皮病（PG）是一种罕见的、持续存在的嗜中性皮肤病，病因不明。该病在临床上通常表现为脓疱或斑块，迅速发展为边缘呈紫罗兰色且呈潜行性的坏死性溃疡。由于同形反应现象，手术清创可能会使病情恶化。本病例报告介绍了一名48岁女性，她接受了腹直肌横形肌皮瓣晚期乳房重建术，随后被诊断为坏疽性脓皮病。该报告详细阐述了疾病诊断和治疗的延误情况，全面描述了事件的经过。
