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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 references 13

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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 occurring in a lower limb fasciocutaneous flap--a lesson to learn.

            Pyoderma gangrenosum is a destructive cutaneous disease characterised by progressive painful ulceration. The occurrence of pyoderma gangrenosum at a surgical site is rare (especially if there is no predisposing illness), but is well recognised. We present a case of a 63-year-old man who developed erythematous ulcerative lesions due to pyoderma gangrenosum in and around a lower limb fasciocutaneous flap used to cover an exposed total knee prosthesis. The lesions were initially confused with postoperative wound infection. No predisposing disorder, other than the rarely reported association with osteoarthritis, was found. The diagnosis is important because its rapid detection not only avoids unnecessary treatment but also allows for prompt intervention with oral steroids. This case is presented to alert surgeons to the presence of pyoderma gangrenosum and its diagnostic confusion with postoperative wound infection.
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              Pyoderma gangrenosum complicating bilateral mammaplasty

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                rbcp
                Revista Brasileira de Cirurgia Plástica
                Rev. Bras. Cir. Plást.
                Sociedade Brasileira de Cirurgia Plástica (São Paulo )
                1983-5175
                December 2010
                : 25
                : 4
                : 725-727
                Affiliations
                [1 ] Sociedade Brasileira de Cirurgia Plástica Brazil
                Article
                S1983-51752010000400030
                10.1590/S1983-51752010000400030

                http://creativecommons.org/licenses/by/4.0/

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                Categories
                SURGERY

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