J Reconstr Microsurg Open 2016; 01(02): 125-127
DOI: 10.1055/s-0036-1592142
Letter to the Editor: Short Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Pyoderma Gangrenosum Following Bilateral Deep Inferior Epigastric Perforator Flaps

Eric Clayman
1  Division of Plastic Surgery, Department of Surgery, Morsani College of Medicine, University of South Florida, Tampa, Florida
,
Kristen Marcet
1  Division of Plastic Surgery, Department of Surgery, Morsani College of Medicine, University of South Florida, Tampa, Florida
,
Lauren Kuykendall
1  Division of Plastic Surgery, Department of Surgery, Morsani College of Medicine, University of South Florida, Tampa, Florida
,
Dunya M. Atisha
2  Division of Plastic Surgery, Department of Surgery, Henry Ford Hospital, Detroit, Michigan
› Author Affiliations
Further Information

Publication History

15 May 2016

18 July 2016

Publication Date:
28 September 2016 (eFirst)

  

Background

Pyoderma gangrenosum (PG) is an atypical ulcerative cutaneous condition, with an estimated six cases per million people per year in the United States.[1] One-half of patients have idiopathic disease, and it is most commonly associated with underlying systemic inflammatory conditions or hematologic malignancies.[1] [2] There have been several reported cases of PG following breast reduction procedures; however, postsurgical PG (PSPG) is rarely seen following autologous tissue breast reconstruction.[3]

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.