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KMID : 0363220180560060389
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Korean Journal of Dermatology
2018 Volume.56 No. 6 p.389 ~ p.392
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Two Cases of Postoperative Pyoderma Gangrenosum
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Kim Young-Jae
Shin Ho-Jeong
Lee Woo-Jin
Won Chong-Hyun
Chang Sung-Eun
Choi Jee-Ho
Lee Mi-Woo
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Abstract
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Pyoderma gangrenosum (PG) is an uncommon ulcerating inflammatory neutrophilic dermatosis. Multifactorial pathogenesis has been reported because the underlying mechanism needs to be clearly elucidated. A pathergic reaction is a pathogenic aggravating factor of PG. The occurrence of postoperative PG (PPG) within and involving the borders of a surgical incision site suggests the role of a pathergic reaction in PG. Massive debridement should be avoided in PPG, and it should be immediately managed with oral prednisolone. We present 2 cases of PPG with different clinical courses according to the primary management.
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KEYWORD
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Cytokines, Pyoderma gangrenosum, Postoperative pyoderma gangrenosum, Skin
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