Erysipelas-like inflammation following breast surgery.
Identifieur interne : 002649 ( Ncbi/Merge ); précédent : 002648; suivant : 002650Erysipelas-like inflammation following breast surgery.
Auteurs : A. Cichowitz [Australie] ; P A Stanley ; W A MorrisonSource :
- Journal of plastic, reconstructive & aesthetic surgery : JPRAS [ 1748-6815 ] ; 2007.
Descripteurs français
- KwdFr :
- Administration par voie orale, Adulte, Adulte d'âge moyen, Antibactériens (administration et posologie), Femelle, Humains, Lymphoedème (), Maladies du sein (traitement médicamenteux), Maladies du sein (étiologie), Mammoplastie (), Mammoplastie (effets indésirables), Mastite (traitement médicamenteux), Mastite (étiologie), Érysipèle (traitement médicamenteux), Érysipèle (étiologie).
- MESH :
- administration et posologie : Antibactériens.
- effets indésirables : Mammoplastie.
- traitement médicamenteux : Maladies du sein, Mastite, Érysipèle.
- étiologie : Maladies du sein, Mastite, Érysipèle.
- Administration par voie orale, Adulte, Adulte d'âge moyen, Femelle, Humains, Lymphoedème, Mammoplastie.
English descriptors
- KwdEn :
- Administration, Oral, Adult, Anti-Bacterial Agents (administration & dosage), Breast Diseases (drug therapy), Breast Diseases (etiology), Erysipelas (drug therapy), Erysipelas (etiology), Female, Humans, Lymphedema (complications), Mammaplasty (adverse effects), Mammaplasty (methods), Mastitis (drug therapy), Mastitis (etiology), Middle Aged.
- MESH :
- chemical , administration & dosage : Anti-Bacterial Agents.
- adverse effects : Mammaplasty.
- complications : Lymphedema.
- drug therapy : Breast Diseases, Erysipelas, Mastitis.
- etiology : Breast Diseases, Erysipelas, Mastitis.
- methods : Mammaplasty.
- Administration, Oral, Adult, Female, Humans, Middle Aged.
Abstract
Impaired lymph drainage is an inevitable consequence of any form of surgery that disrupts lymphatics, resulting in a degree of lymphoedema that may vary from subtle to dramatic and although classically involving an entire limb, may be more localised, confined to only a small area such as a skin flap. Infection is a well-recognised complication of lymphoedema. However, not all inflammatory episodes occurring in the setting of lymphatic dysfunction can be clearly attributed to infection as this article demonstrates. Five patients presented over a 5-year period with distinctive erysipelas-like inflammation affecting the breast which occurred several weeks following reduction mammaplasty in four patients and breast reconstruction in one patient. No clinical response was obtained with standard antibiotics. This inflammatory problem may represent a previously unreported complication of breast surgery with an incidence of 4% following reduction mammaplasty. Recent research supports the notion that this type of episode is most likely to be due to a non-infective inflammatory process related to lymphatic dysfunction induced by surgery.
DOI: 10.1016/j.bjps.2006.04.013
PubMed: 17399657
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Cichowitz</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, University of Melbourne, St. Vincent's Hospital, 41 Victoria Parade, Fitzroy, Victoria 3065, Australia. agcich@melbpc.org.au</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Surgery, University of Melbourne, St. Vincent's Hospital, 41 Victoria Parade, Fitzroy, Victoria 3065</wicri:regionArea><wicri:noRegion>Victoria 3065</wicri:noRegion></affiliation></author><author><name sortKey="Stanley, P A" sort="Stanley, P A" uniqKey="Stanley P" first="P A" last="Stanley">P A Stanley</name></author><author><name sortKey="Morrison, W A" sort="Morrison, W A" uniqKey="Morrison W" first="W A" last="Morrison">W A Morrison</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2007">2007</date><idno type="RBID">pubmed:17399657</idno><idno type="pmid">17399657</idno><idno type="doi">10.1016/j.bjps.2006.04.013</idno><idno type="wicri:Area/PubMed/Corpus">003700</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003700</idno><idno type="wicri:Area/PubMed/Curation">003700</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003700</idno><idno type="wicri:Area/PubMed/Checkpoint">003700</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">003700</idno><idno type="wicri:Area/Ncbi/Merge">002649</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Erysipelas-like inflammation following breast surgery.</title><author><name sortKey="Cichowitz, A" sort="Cichowitz, A" uniqKey="Cichowitz A" first="A" last="Cichowitz">A. 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Infection is a well-recognised complication of lymphoedema. However, not all inflammatory episodes occurring in the setting of lymphatic dysfunction can be clearly attributed to infection as this article demonstrates. Five patients presented over a 5-year period with distinctive erysipelas-like inflammation affecting the breast which occurred several weeks following reduction mammaplasty in four patients and breast reconstruction in one patient. No clinical response was obtained with standard antibiotics. This inflammatory problem may represent a previously unreported complication of breast surgery with an incidence of 4% following reduction mammaplasty. Recent research supports the notion that this type of episode is most likely to be due to a non-infective inflammatory process related to lymphatic dysfunction induced by surgery.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17399657</PMID><DateCreated><Year>2007</Year><Month>04</Month><Day>02</Day></DateCreated><DateCompleted><Year>2007</Year><Month>06</Month><Day>12</Day></DateCompleted><DateRevised><Year>2007</Year><Month>04</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1748-6815</ISSN><JournalIssue CitedMedium="Print"><Volume>60</Volume><Issue>5</Issue><PubDate><Year>2007</Year></PubDate></JournalIssue><Title>Journal of plastic, reconstructive & aesthetic surgery : JPRAS</Title><ISOAbbreviation>J Plast Reconstr Aesthet Surg</ISOAbbreviation></Journal><ArticleTitle>Erysipelas-like inflammation following breast surgery.</ArticleTitle><Pagination><MedlinePgn>490-4</MedlinePgn></Pagination><Abstract><AbstractText>Impaired lymph drainage is an inevitable consequence of any form of surgery that disrupts lymphatics, resulting in a degree of lymphoedema that may vary from subtle to dramatic and although classically involving an entire limb, may be more localised, confined to only a small area such as a skin flap. Infection is a well-recognised complication of lymphoedema. However, not all inflammatory episodes occurring in the setting of lymphatic dysfunction can be clearly attributed to infection as this article demonstrates. Five patients presented over a 5-year period with distinctive erysipelas-like inflammation affecting the breast which occurred several weeks following reduction mammaplasty in four patients and breast reconstruction in one patient. No clinical response was obtained with standard antibiotics. This inflammatory problem may represent a previously unreported complication of breast surgery with an incidence of 4% following reduction mammaplasty. 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