Tuesday, 28 September 2010

MRCP revision battle 23.6: Pyoderma gangrenosum

Pyoderma gangrenosum is a nodulo-pustular ulcer, with a purulent surface and a tender bluish overhanging edge.

Below is a picture from Wiki Commons showing pyoderma gangrenosum:

In 50% of cases it is idiopathic.

Associations with pyoderma gangrenosum include:
  • inflammatory bowel disease
  • RA/SLE/ank spond
  • lymphoma/leukaemia/myeloproliferative disorders
  • primary biliary sclerosis/sclerosing chloangitis
  • sarcoid
  • thyroid problems
  • diabetes
  • Wegeners granulomatosis

Treatment includes high dose oral steroids.

Another day's battling complete.  Congratulations!