Minimizing the risk of post-operative pyoderma gangrenosum
- 1 July 1992
- journal article
- case report
- Published by Oxford University Press (OUP) in British Journal of Dermatology
- Vol. 127 (1), 45-48
- https://doi.org/10.1111/j.1365-2133.1992.tb14826.x
Abstract
A 61-year-old woman with seropositive rheumatoid arthritis developed numerous ulcers due to pyoderma gangrenosum at suture entry/exit sites following an arthroplasty of the right hip when interrupted silk sutures were used to close the skin. When a subsequent arthroplasty was performed on the left hip and subcuticular Dexon sutures were used to close the skin only two small ulcers developed. Sixteen cases of pyoderma gangrenosum developing in surgical wounds have previously been reported. We recommend that surgery in patients with a history of pyoderma gangrenosum is performed when the pyoderma is clinically quiescent, and that subcuticular sutures are used for skin closure, thus avoiding puncturing the skin surface.Keywords
This publication has 13 references indexed in Scilit:
- Skin hyperreactivity. response (pathergy) in Behçet's diseaseJournal of the American Academy of Dermatology, 1989
- Pyoderma gangrenosum occurring at multiple surgical incision sitesGastroenterology, 1987
- Pyoderma gangrenosum after cholecystectomy.BMJ, 1986
- Residents' Corner: Pyoderma Gangrenosum at Surgery SitesThe Journal of Dermatologic Surgery and Oncology, 1985
- Pyoderma Gangrenosum at the Parastomal Site in Patients With Crohn's DiseaseArchives of Surgery, 1984
- Pyoderma GangrenosumArchives of Surgery, 1982
- Pyoderma GangrenosumThe Journal of Dermatologic Surgery and Oncology, 1981
- Postsurgical, Chronic, Nonprogressive, Cutaneous Ulcers: A Possible Variant of Pyoderma Gangrenosum Associated with Diabetes MellitusThe Journal of Dermatologic Surgery and Oncology, 1978
- Pyoderma gangrenosum with Koebner Effect and Mondor’s Disease in the Same PatientDermatology, 1976
- Pyoderma GangrenosumSouthern Medical Journal, 1969