Post Reduction Mammaplasty Pyoderma Gangrenosum: An Unusual Presentation of a Misdiagnosed Entity

ABSTRACT: Pyoderma gangrenosum is a rare skin disorder that could be triggered after surgical trauma. However, more uncommon, this condition could follow breast surgery. An opportune diagnosis and adequate treatment are essential in order to avoid wound chronicity and aesthetic sequels. We report a...

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Autores:
Zapata Álvarez, Jesús
Patrón Gómez, Alfredo Salvador
Tipo de recurso:
Article of journal
Fecha de publicación:
2020
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
eng
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/44927
Acceso en línea:
https://hdl.handle.net/10495/44927
Palabra clave:
Piodermia Gangrenosa
Pyoderma Gangrenosum
Mamoplastia
Mammaplasty
Mastectomía Segmentaria
Mastectomy, Segmental
Complicaciones Intraoperatorias
Intraoperative Complications
https://id.nlm.nih.gov/mesh/D017511
https://id.nlm.nih.gov/mesh/D016462
https://id.nlm.nih.gov/mesh/D015412
https://id.nlm.nih.gov/mesh/D007431
Rights
openAccess
License
https://creativecommons.org/licenses/by/4.0/
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network_acronym_str UDEA2
network_name_str Repositorio UdeA
repository_id_str
dc.title.spa.fl_str_mv Post Reduction Mammaplasty Pyoderma Gangrenosum: An Unusual Presentation of a Misdiagnosed Entity
title Post Reduction Mammaplasty Pyoderma Gangrenosum: An Unusual Presentation of a Misdiagnosed Entity
spellingShingle Post Reduction Mammaplasty Pyoderma Gangrenosum: An Unusual Presentation of a Misdiagnosed Entity
Piodermia Gangrenosa
Pyoderma Gangrenosum
Mamoplastia
Mammaplasty
Mastectomía Segmentaria
Mastectomy, Segmental
Complicaciones Intraoperatorias
Intraoperative Complications
https://id.nlm.nih.gov/mesh/D017511
https://id.nlm.nih.gov/mesh/D016462
https://id.nlm.nih.gov/mesh/D015412
https://id.nlm.nih.gov/mesh/D007431
title_short Post Reduction Mammaplasty Pyoderma Gangrenosum: An Unusual Presentation of a Misdiagnosed Entity
title_full Post Reduction Mammaplasty Pyoderma Gangrenosum: An Unusual Presentation of a Misdiagnosed Entity
title_fullStr Post Reduction Mammaplasty Pyoderma Gangrenosum: An Unusual Presentation of a Misdiagnosed Entity
title_full_unstemmed Post Reduction Mammaplasty Pyoderma Gangrenosum: An Unusual Presentation of a Misdiagnosed Entity
title_sort Post Reduction Mammaplasty Pyoderma Gangrenosum: An Unusual Presentation of a Misdiagnosed Entity
dc.creator.fl_str_mv Zapata Álvarez, Jesús
Patrón Gómez, Alfredo Salvador
dc.contributor.author.none.fl_str_mv Zapata Álvarez, Jesús
Patrón Gómez, Alfredo Salvador
dc.contributor.researchgroup.spa.fl_str_mv Grupo de Investigación en Cirugía Plástica Universidad de Antioquia
dc.subject.decs.none.fl_str_mv Piodermia Gangrenosa
Pyoderma Gangrenosum
Mamoplastia
Mammaplasty
Mastectomía Segmentaria
Mastectomy, Segmental
Complicaciones Intraoperatorias
Intraoperative Complications
topic Piodermia Gangrenosa
Pyoderma Gangrenosum
Mamoplastia
Mammaplasty
Mastectomía Segmentaria
Mastectomy, Segmental
Complicaciones Intraoperatorias
Intraoperative Complications
https://id.nlm.nih.gov/mesh/D017511
https://id.nlm.nih.gov/mesh/D016462
https://id.nlm.nih.gov/mesh/D015412
https://id.nlm.nih.gov/mesh/D007431
dc.subject.meshuri.none.fl_str_mv https://id.nlm.nih.gov/mesh/D017511
https://id.nlm.nih.gov/mesh/D016462
https://id.nlm.nih.gov/mesh/D015412
https://id.nlm.nih.gov/mesh/D007431
description ABSTRACT: Pyoderma gangrenosum is a rare skin disorder that could be triggered after surgical trauma. However, more uncommon, this condition could follow breast surgery. An opportune diagnosis and adequate treatment are essential in order to avoid wound chronicity and aesthetic sequels. We report a 51-year-old woman who presented multiple wound complications after a reduction mammaplasty. This particular case is unique, because bilateral and unusual presentation after another uncomplicated previous surgical procedure, and illustrates how a patient could be taken through different rational surgical therapeutic modalities without improvement, and deterioration of clinical picture. Finally, a diagnosis of Pyoderma gangrenosum was established, and immunosuppressive treatment was completed, with an appropriate resolution of this problematic condition.
publishDate 2020
dc.date.issued.none.fl_str_mv 2020
dc.date.accessioned.none.fl_str_mv 2025-02-16T20:17:33Z
dc.date.available.none.fl_str_mv 2025-02-16T20:17:33Z
dc.type.spa.fl_str_mv Reporte de caso
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dc.identifier.citation.spa.fl_str_mv Zapata Alvarez J, Patrón Gómez A. Post Reduction Mammaplasty Pyoderma Gangrenosum: An Unusual Presentation of a Misdiagnosed Entity. Cureus. 2020 Nov 11;12(11):e11432. doi: 10.7759/cureus.11432.
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/10495/44927
dc.identifier.doi.none.fl_str_mv 10.7759/cureus.11432
dc.identifier.eissn.none.fl_str_mv 2168-8184
identifier_str_mv Zapata Alvarez J, Patrón Gómez A. Post Reduction Mammaplasty Pyoderma Gangrenosum: An Unusual Presentation of a Misdiagnosed Entity. Cureus. 2020 Nov 11;12(11):e11432. doi: 10.7759/cureus.11432.
10.7759/cureus.11432
2168-8184
url https://hdl.handle.net/10495/44927
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.ispartofjournalabbrev.spa.fl_str_mv Cureus
dc.relation.citationendpage.spa.fl_str_mv 5
dc.relation.citationissue.spa.fl_str_mv 11
dc.relation.citationstartpage.spa.fl_str_mv 1
dc.relation.citationvolume.spa.fl_str_mv 12
dc.relation.ispartofjournal.spa.fl_str_mv Cureus: Journal of Medical Science
dc.rights.uri.spa.fl_str_mv https://creativecommons.org/licenses/by/4.0/
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dc.format.extent.spa.fl_str_mv 5 páginas
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dc.publisher.spa.fl_str_mv Springer
dc.publisher.place.spa.fl_str_mv Palo Alto, Estados Unidos
institution Universidad de Antioquia
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spelling Zapata Álvarez, JesúsPatrón Gómez, Alfredo SalvadorGrupo de Investigación en Cirugía Plástica Universidad de Antioquia2025-02-16T20:17:33Z2025-02-16T20:17:33Z2020Zapata Alvarez J, Patrón Gómez A. Post Reduction Mammaplasty Pyoderma Gangrenosum: An Unusual Presentation of a Misdiagnosed Entity. Cureus. 2020 Nov 11;12(11):e11432. doi: 10.7759/cureus.11432.https://hdl.handle.net/10495/4492710.7759/cureus.114322168-8184ABSTRACT: Pyoderma gangrenosum is a rare skin disorder that could be triggered after surgical trauma. However, more uncommon, this condition could follow breast surgery. An opportune diagnosis and adequate treatment are essential in order to avoid wound chronicity and aesthetic sequels. We report a 51-year-old woman who presented multiple wound complications after a reduction mammaplasty. This particular case is unique, because bilateral and unusual presentation after another uncomplicated previous surgical procedure, and illustrates how a patient could be taken through different rational surgical therapeutic modalities without improvement, and deterioration of clinical picture. Finally, a diagnosis of Pyoderma gangrenosum was established, and immunosuppressive treatment was completed, with an appropriate resolution of this problematic condition.COL00383065 páginasapplication/pdfengSpringerPalo Alto, Estados Unidoshttps://creativecommons.org/licenses/by/4.0/http://creativecommons.org/licenses/by/2.5/co/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Post Reduction Mammaplasty Pyoderma Gangrenosum: An Unusual Presentation of a Misdiagnosed EntityReporte de casohttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTCASOhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPiodermia GangrenosaPyoderma GangrenosumMamoplastiaMammaplastyMastectomía SegmentariaMastectomy, SegmentalComplicaciones IntraoperatoriasIntraoperative Complicationshttps://id.nlm.nih.gov/mesh/D017511https://id.nlm.nih.gov/mesh/D016462https://id.nlm.nih.gov/mesh/D015412https://id.nlm.nih.gov/mesh/D007431Cureus511112Cureus: Journal of Medical SciencePublicationORIGINALZapataJesus_2020_Post_Reduction_Mammaplasty_Pyoderma_Gangrenosum.pdfZapataJesus_2020_Post_Reduction_Mammaplasty_Pyoderma_Gangrenosum.pdfReporte de casoapplication/pdf1153401https://bibliotecadigital.udea.edu.co/bitstreams/b4c6ba3c-1ec6-4812-b18b-4058cbf31f27/download2d2eaffe977315c7ebdd96007cfbfbb1MD51trueAnonymousREADLICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://bibliotecadigital.udea.edu.co/bitstreams/8a1e6b23-327d-4cfc-aff9-a14c18702a92/download8a4605be74aa9ea9d79846c1fba20a33MD52falseAnonymousREADTEXTZapataJesus_2020_Post_Reduction_Mammaplasty_Pyoderma_Gangrenosum.pdf.txtZapataJesus_2020_Post_Reduction_Mammaplasty_Pyoderma_Gangrenosum.pdf.txtExtracted texttext/plain17406https://bibliotecadigital.udea.edu.co/bitstreams/c95b6560-09e9-4fe4-9e07-56576fe47dcf/download3404427f8e54aaa78ab14fe35eaedad5MD53falseAnonymousREADTHUMBNAILZapataJesus_2020_Post_Reduction_Mammaplasty_Pyoderma_Gangrenosum.pdf.jpgZapataJesus_2020_Post_Reduction_Mammaplasty_Pyoderma_Gangrenosum.pdf.jpgGenerated Thumbnailimage/jpeg10717https://bibliotecadigital.udea.edu.co/bitstreams/c1f0120c-cb4d-47d3-8c0d-97449c3c0d27/downloadd33e80d4153ff4206e20206ca7b4aa7cMD54falseAnonymousREAD10495/44927oai:bibliotecadigital.udea.edu.co:10495/449272025-03-26 19:30:55.485https://creativecommons.org/licenses/by/4.0/open.accesshttps://bibliotecadigital.udea.edu.coRepositorio Institucional de la Universidad de Antioquiaaplicacionbibliotecadigitalbiblioteca@udea.edu.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