Pioderma gangrenoso pós-mamoplastia redutora: relato de caso e discursão

We report the case of a 31-year-old woman who underwent mammoplasty and abdominoplasty and developed a rare and recurrent skin disease, of unknown etiology that was diagnosed as pyoderma gangrenosum. While the diagnosis was clinical, the treatment was empirical. An association between this disease and other systemic diseases was observed, in addition to pathergy (development of a new inflammatory lesion in are as of trauma) and changes in cellular immunity. The patient was empirically treated with antibiotics, sulfone, corticosteroids, and topical agents and experienced complete wound healing with no recurrence. (AU) Neste artigo relata-se o caso de uma jovem de 31 anos de idade, submetida a mamoplastia e abdominoplastia, que evoluiu com uma doenca cutânea rara, recorrente e de causa desconhecida: pioderma gangrenoso. O diagnostico e clinico e o tratamento permanece empirico. Tem-se encontrado relacao entre essa afeccao e outras doencas sistemicas, alem de evidencias do fenomeno de patergia (desenvolvimento de uma nova lesao inflamatoriana area do trauma) e de alteracoes da imunidade celular. A paciente foi tratada empiricamente com antibioticos, sulfona e corticoide, e com tratamento topico, evoluindo para o fechamento completo das lesoes sem apresentar recorrencia. (AU)