Development of Pyoderma Gangrenosum after a Deep Inferior Epigastric Perforator Breast Reconstruction

抄録

Pyoderma gangrenosum is a rare skin disorder and a part of the spectrum of neutrophilic dermatoses. However, its etiology remains unknown. It is characterized by ulcer-like active skin lesions and may develop in skin areas subjected to surgical intervention or injury. Here, we report a rare case of a patient who developed pyoderma gangrenosum after an autologous unilateral breast reconstruction and simultaneous contralateral breast augmentation. In our patient, lesions developed on the left breast and on the abdominal donor site with surgical dermal scarring; however, the other breast was unchanged, without scarring. The patient recovered after a systemic steroid treatment and negative pressure wound therapy.