Koebner’s Phenomenon in Psoriasis Post Nipple Sparing Mastectomy with Immediate Silicone Implant Breast Reconstruction
Published: 2020-09-05
Page: 248-251
Issue: 2020 - Volume 3 [Issue 2]
Y. L. Tan *
Department of Breast and Endocrine Surgery, Hospital Putrajaya, Jalan P9 Presinct 7, 62250 Putrajaya, Malaysia.
R. A. Raflis
Department of Breast and Endocrine Surgery, Hospital Kuala Lumpur, Jalan Pahang, Malaysia.
N. A. Hakim
Department of Breast and Endocrine Surgery, Hospital Kuala Lumpur, Jalan Pahang, Malaysia.
E. N. Aina
Department of Breast and Endocrine Surgery, Hospital Kuala Lumpur, Jalan Pahang, Malaysia.
A. Daphne
Sime Darby Medical Centre, Subang Jaya, Malaysia.
*Author to whom correspondence should be addressed.
Abstract
The ‘Koebner’s phenomenon’ is a rare clinical response that occurs in patients with pre-existing cutaneous diseases like psoriasis. The phenomenon is triggered by skin incisions, causing an acute development of isomorphic pathological lesions along the lines of the skin trauma in an otherwise normal healthy area. Its occurrence following an immediate silicone implant breast reconstruction could result in severe morbidities. The awareness of this clinical entity and its complications is of paramount importance in preoperative decisions for breast reconstruction; given that they are rare but preventable.
Keywords: Koebner’s phenomenon, nipple sparing mastectomy, silicone implant reconstruction, psoriasis with breast cancer