Pyoderma gangrenosum of the breast – Case report

Area of Science:

• Dermatology
• Oncology

Background:

• Pyoderma gangrenosum (PG) is a rare, ulcerative inflammatory condition.
• Breast PG is exceptionally rare, often linked to systemic diseases and triggered by trauma or surgery.

Observation:

• A case of breast PG in a patient with diabetes mellitus and a minor injury is presented.
• The initial presentation mimicked an infected breast ulcer, delaying correct diagnosis.

Findings:

• The patient received an initial misdiagnosis of infected breast ulcer.
• Correct diagnosis led to treatment with systemic steroids, followed by breast ablation at the patient's request.

Implications:

• This case underscores the diagnostic challenges associated with breast PG.
• Highlights the importance of considering rare dermatological conditions in breast pathology.
• Demonstrates successful management involving systemic steroids and surgical intervention.