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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.
Cureus
|February 3, 2022
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.
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.
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