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
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