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Ann Thorac Surg 1993;55:1016-1018
© 1993 The Society of Thoracic Surgeons

Articles

Pyoderma gangrenosum after coronary artery bypass grafting

Richard P. Rand, MD*, John E. Olerud, MD, Edward D. Verrier, MD

Division of Plastic and Reconstructive Surgery, Division of Dermatology, Department of Medicine, and Division of Cardiothoracic Surgery, Department of Surgery, University of Washington School of Medicine, Seattle, Washington USA

Received for publication June 18, 1992. * Address reprint requests to Dr Rand, Department of Surgery, RF-25, University of Washington, Seattle, WA 98195.

Pyoderma gangrenosum is a rare cutaneous disorder that may complicate recovery after a cardiac operation. The lesions appear to represent a necrotizing infection; how-ever, they do not respond to surgical debridement and antibiotic therapy. The treatment is based on high-dose corticosteroids and concomitant treatment of any underlying systemic disease.




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