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case_images: One-week post breast reduction and abdominoplasty: Patient presented with tender pink-red firm patches and nodules, swelling of the skin around the incision sites, wound dehiscence, with overlying crust. A: Right breast incision site B: Left breast incision site C: Abdominal incision site D: Left lateral abdomen incision site.
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case_images: On physical examination, she was febrile (38.3  C) and had tender pink-red firm nodules and swelling of surgical sites of the breast, abdomen, and flank, with areas of wound dehiscence and overlying serosanguinous crust (Figure 1).
case_images: Punch biopsy of ulcer edge. Hematoxylin and eosin stain demonstrating exuberant neutrophilic inflammation in the dermis (A) 20x (B) 200x.
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case_images: A punch biopsy of the left breast revealed focal ulceration overlying a dense neutrophil-predominant inflammatory infiltrate throughout the dermis, clinicopathologically consistent with pyoderma gangrenosum (Figure 2).
case_images: A: Right breast following 3 months of treatment. B: Abdomen after 3 months of treatment. Complete healing with cribriform scar after 8 months of treatment. C: Right and left breast after 8 months of treatment. D: Abdomen after 8 months of treatment.
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case_images: At her ten-month follow-up visit, she had well-healed scars with decreased pain and improved quality of life (Figure 3).