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Abstract
We present a case of pyoderma gangrenosum (PG) affecting the breast of a 74-year-old woman, with a history of breast cancer treated with breast conserving surgery and adjuvant radiotherapy 17 years prior. She presented to the hospital with worsening breast ulceration, after a punch biopsy was performed at the site. She had surrounding cellulitis and concurrent infection to that breast which required antibiotics. The ulceration persisted even after treatment, and incisional biopsies of the area of ulceration confirmed the diagnosis of PG. Her condition was managed effectively with the use of immunosuppressive therapy, and she continued to display a good clinical response 2 months post discharge from the hospital.
- breast surgery
- dermatology
- skin
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Footnotes
Contributors SAP conceptualised and designed the study, drafted the initial manuscript, revised the manuscript and approved the final manuscript as submitted. Agrees to be accountable for all aspects of the work. AC assisted in the supervision of the study, reviewed, revised and edited the manuscript throughout its draft iterations and edited and approved the final manuscript as submitted. Agrees to be accountable for all aspects of the work. MP assisted in the supervision of the study, reviewed, revised and edited the manuscript throughout its draft iterations and edited and approved the final manuscript as submitted. Agrees to be accountable for all aspects of the work.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.