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      Pioderma gangrenoso em mastoplastia e abdominoplastia Translated title: Pyoderma gangrenosum in mammaplasty and abdominoplasty

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          Abstract

          Pioderma gangrenoso é uma doença rara de causa desconhecida, inflamatória, ulcerativa e dolorosa, com formação de bolhas e pústulas, tipo autoimune e não infecciosa. É caracterizado inicialmente por uma lesão cutânea avermelhada de caráter inflamatório do tipo rash cutâneo, que evolui para necrose de pele. Pode representar uma primeira resposta imunológica na pele durante o ato operatório, semelhante à doença de Crohn, doença de Behçet, doenças autoimunes, leucemias, artrites, ou mesmo ainda qualquer outro pequeno trauma ocorrido na pele em data anterior à cirurgia. Não se sabe a origem do processo que deu a esta reação imunológica.

          Translated abstract

          Pyoderm gangrenosum is an unknown skin inflammatory and ulcerative non infected disease, painful that starts with vesicles formation like cutaneous rash that develop to skin necrosis. It may represent the first immunologic skin reaction during the surgery, similar to Crohn disease, Behçet disease, autoimmune diseases, leukemia, arthritis or even any type of small skin trauma days before the surgery. The immunologic reactions are still unknown.

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          Most cited references13

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          Pyoderma gangrenosum: an update.

          Pyoderma gangrenosum (PG) can be differentiated into classic and atypical forms. The classic form is characterized by ulcers and the atypical form by deep erosions with bullous blue-gray margins. Pathergy, the development of cutaneous lesions at sites of trauma, is a common feature of both forms of PG. Approximately 50% of patients who have PG have underlying systemic diseases, most commonly inflammatory bowel disease, myeloproliferative disorders, and various forms of inflammatory arthritis. The diagnosis of PG is one of exclusion. The management of this disorder begins with treatment of any underlying disease and local or systemic glucocorticoids or immunomodulating therapies.
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            The use of rotation flaps following excision of lumbar myelo-meningoceles: an aid to the closure of large defects.

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              Pyoderma gangrenosum after silicone prosthesis implant in the breasts and facial plastic surgery.

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                Author and article information

                Journal
                rbcp
                Revista Brasileira de Cirurgia Plástica
                Rev. Bras. Cir. Plást.
                Sociedade Brasileira de Cirurgia Plástica (São Paulo, SP, Brazil )
                1983-5175
                2177-1235
                December 2010
                : 25
                : 4
                : 725-727
                Affiliations
                [01] orgnameSociedade Brasileira de Cirurgia Plástica
                Article
                S1983-51752010000400030 S1983-5175(10)02500430
                10.1590/S1983-51752010000400030
                266bf6cd-6a04-4756-bd89-23e0e630b2ec

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 16 September 2009
                : 16 September 2010
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 12, Pages: 3
                Product

                SciELO Brazil

                Categories
                Relatos de Caso

                Doenças auto-imunes,Abdome,Mamoplastia,Pioderma gangrenoso,Abdomen,Mammaplasty,Autoimmune diseases,Pyoderma gangrenosum

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