Systemic Corticosteroids in the Perioperative Setting for Prevention of Pyoderma Gangrenosum During Reconstructive Surgery.
Lindsay Skylar Li, William C Lau, Mark Lebwohl
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Case in brief
A patient developed pyoderma gangrenosum (PG) following multiple breast augmentation surgeries. This case highlights the successful use of a combination of cyclosporine and prednisone to prevent PG recurrence during subsequent breast reconstruction. The treatment was administered both preoperatively and postoperatively, demonstrating effective management of this condition in a surgical context.
Diagnostic / clinical pearl
Clinicians should consider the risk of pyoderma gangrenosum in patients with a history of surgical procedures, particularly in the context of breast augmentation, and may benefit from prophylactic corticosteroid therapy.