Pyoderma Gangrenosum Following Bilateral Deep Inferior Epigastric Perforator Flaps
15 May 2016
18 July 2016
28 September 2016 (eFirst)
Pyoderma gangrenosum (PG) is an atypical ulcerative cutaneous condition, with an estimated six cases per million people per year in the United States. One-half of patients have idiopathic disease, and it is most commonly associated with underlying systemic inflammatory conditions or hematologic malignancies.  There have been several reported cases of PG following breast reduction procedures; however, postsurgical PG (PSPG) is rarely seen following autologous tissue breast reconstruction.
In this article, the authors report the clinical course, treatment, and outcome of a patient diagnosed with PSPG following a delayed breast reconstruction with bilateral deep inferior epigastric perforator (DIEP) flaps. The objective of reporting this case is to further the understanding of the clinical presentation and treatment of PSPG as a complication in patients who present with cutaneous ulcerations following autologous tissue breast reconstruction.
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