Eur J Plast Surg (2015) 38:251–252 DOI 10.1007/s00238-015-1063-8 LETTER TO THE EDITOR Painless pyoderma gangrenosum: an insidious presentation complicating a sternal wound dehiscence Ayad Harb & Mohammad Nassimizadeh & Imtiaz Ahmed & Eltigani Eltigani Received: 27 June 2014 /Accepted: 8 January 2015 /Published online: 1 February 2015 Springer-Verlag Berlin Heidelberg 2015 Sir, dehisced and new ulcers began to develop on the breast. These Pyoderma gangrenosum (PG) is a rare ulcerative dermatosis typ- were excised and resutured. The wounds subsequently dehisced ically of the lower limbs. It is often reported as a spontaneous skin again and failed to heal despite TNP dressings over 4 weeks. disease; however, by a process termed Pathergy, new ulcerations PG was suspected at this stage and high-dose oral prednis- may also occur after minor skin trauma and surgical procedures. olone (60 mg) was commenced. All wounds showed rapid Diagnosis is difficult and often delayed or made by a process of improvement and were completely healed by 6 weeks without exclusion. The reported incidence varies between 1 in 100,000 to any further surgical treatments. three cases per million with a slight female predominance. We Pyoderma Gangrenosum is a rare idiopathic ulcerative der- report a highly unusual
European Journal of Plastic Surgery – Springer Journals
Published: Jun 1, 2015
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
All the latest content is available, no embargo periods.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud