Pyoderma Gangrenosum Flashcards
1
Q
What causes pyoderma gangrenosum?
A
Idiopathic 50% Inflammatory bowel disease RA, SLE Myeloproliferative disorders Lymphoma, myeloid leukaemia Monoclonal gammopathy Primary binary cirrhosis
2
Q
Where does it typically occur?
A
Lower limbs
Site of a minor injury
3
Q
Describe the features
A
Initially small red papule
Later deep, red, necrotic ulcers with violaceous border
May have systemic symptoms - fever, myalgia
4
Q
How is it managed?
A
Potential for rapid progression, so oral steroids first line
Immunosuppression if difficult case
5
Q
What can it look like?
A
A Margherita pizza - red base and yellow topping
6
Q
Is it an infection?
A
No
7
Q
Is it painful?
A
Yes very
