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Post-breast Reduction Pyoderma Gangrenosum Managed With Gender-Affirming Top Surgery.

Abigail E Peoples1, Ivo A Pestana1

  • 1Plastic and Reconstructive Surgery, Wake Forest Baptist Medical Center, Winston-Salem, USA.

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|February 3, 2022
PubMed
Summary

Pyoderma gangrenosum, a rare ulcerative skin condition, can occur after breast surgery, even without inflammatory bowel disease. This case highlights the importance of patient-centered care in gender-affirming surgeries.

Keywords:
breast reductiongender affirmation surgerynipple-sparing mastectomyplastic surgerypostoperative pyoderma gangrenosum

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Area of Science:

  • Dermatology
  • Plastic Surgery
  • Gastroenterology

Background:

  • Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis.
  • It is frequently associated with inflammatory bowel diseases (IBDs).
  • Postsurgical PG (PSPG) of the breast is exceptionally rare.

Observation:

  • We present a case of PSPG following elective breast reduction and gender-affirming top surgery.
  • The patient had no history of IBD.

Findings:

  • PSPG can manifest after breast reconstructive procedures.
  • The condition can occur independently of IBD.
  • This case underscores the rarity of PSPG in the context of gender-affirming surgery.

Implications:

  • Reconstructive surgeons should consider PSPG in patients presenting with ulcerative lesions post-surgery.
  • Understanding patient gender identity and goals is crucial for optimal, patient-centered care.
  • This case contributes to the limited literature on PSPG following gender-affirming top surgery.