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pyoderma gangrenosum, post-operative, surgical complications
Post-surgical pyoderma gangrenosum is rare. On average it develops 10 days after a surgical procedure. This timeframe is similar to post-operative wound infections, including post-operative necrotizing fasciitis. Consequently, post-surgical pyoderma gangrenosum is frequently misdiagnosed as an infection, leading to detrimental surgical debridement, unnecessary antibiotic use, and delay of proper treatment. We review a case of pyoderma gangrenosum of the right inguinal crease following percutaneous coronary catheterization and review of the literature.
2. S.N. Tolkachjov, et al.Postoperative pyoderma gangrenosum (PG): the Mayo Clinic experience of 20 years from 1994 through 2014. J. Am. Acad. Dermatol., 73 (4) (2015), pp. 615-622
3. Tolkachjov SN et al. Postoperative Pyoderma Gangrenosum: A Clinical Review of Published Cases. Mayo Clin Proc. 2016 Sep; 91(9): 1267-79.
4. Ogata K et al. Pyoderma gangrenosum in an abdominal surgical site: a case report. Surg Case Rep. 2015 Dec; 1:122.
5. Wang C et al. Immune dysregulation in myelodysplastic syndrome: Clinical features, pathogenesis, and therapeutic strategies. Crit Rev Oncol Hematol. 2018 Feb; 122. 123-132.
6. Crowson AN, Mihm MC Jr, Magro C. Pyoderma gangrenosum: a review. J Cutan Pathol. 2003 Feb; 30(2): 97-107.
7. Le Cleach L et al. Is topical monotherapy effective for localized pyoderma gangrenosum? Arch Dermatol. 2011; 147: 101-3.
8. Thomas et al. Clinical outcomes and response of patients applying topical therapy for pyoderma gangrenosum: A prospective cohort study. J Am Acad Dermatol. 2016 Nov; 75(5): 940-949.
9. Leiphart PA et al. Suppression of pathergy in pyoderma gangrenosum with infliximab allowing for successful tendon depridement. JAAD Case Rep 2017 Dec 20; 4(1): 98-100.