Pyoderma Gangrenosum with Pathergy; A Potentially Significant Complication following Breast Reconstruction

The failure of post-operative surgical site infection to resolve after appropriate antibiotic therapy should alert the clinician to other diagnoses. Pyoderma Gangrenosum (PG) is an inflammatory neutrophilic dermatosis typically characterized by necrotizing ulceration. PG can be exacerbated by minor trauma leading to exaggerated skin injury, a concept known as pathergy.. We present a case series of pyoderma gangrenosum arising after immediate reconstruction for breast oncological surgery from 1st January 2006 – 1st September 2014.

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