CH 37- PYODERMA GANGRENOSUM
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Questions and Answers

What is the most common site for ulcerative PG to develop?

  • Back
  • Arm
  • Abdomen
  • Leg (correct)

Which of the following is a characteristic feature of ulcerative PG?

  • Purulent necrotic material at the base (correct)
  • Base covered with clear fluid
  • Surrounding zone of cyanosis
  • Central elevation of skin

What distinguishes Bullous PG from the most common variant of PG?

  • Appearance as a furuncle
  • Associated with hematologic disease (correct)
  • Development on the chest
  • Presence of painless blisters

What characterizes the development of Bullous PG?

<p>Rapidly expanding inflammatory blister (D)</p> Signup and view all the answers

What phenomenon describes the induction of exaggerated flaring of PG at the site of trauma or surgery?

<p>Pathergic phenomenon (D)</p> Signup and view all the answers

Which of the following best describes the classic ulcerative variant of Pyoderma gangrenosum?

<p>Starts as a painful nodule, plaque, or pustule that enlarges and breaks down (D)</p> Signup and view all the answers

What is a common characteristic of Pyoderma gangrenosum ulcers during the healing process?

<p>Developing raised, undermined, violaceous borders (A)</p> Signup and view all the answers

What is a distinguishing feature of Pyoderma gangrenosum in relation to trauma?

<p>50% of cases occur and recur in areas of trauma (B)</p> Signup and view all the answers

How is Pyoderma gangrenosum believed to be associated with other conditions?

<p>Associated with systemic inflammation, autoinflammatory, or hematologic conditions (B)</p> Signup and view all the answers

What is the estimated incidence of Pyoderma gangrenosum cases per million people per year?

<p>Up to 10 cases per million people per year (A)</p> Signup and view all the answers

At what age range do most Pyoderma gangrenosum cases occur?

<p>Second to sixth decades of life (D)</p> Signup and view all the answers

What is a recommended approach for the diagnosis of Pyoderma Gangrenosum (PG)?

<p>Conduct a thorough history and physical examination for systemic diseases (B)</p> Signup and view all the answers

Which of the following is NOT mentioned as a potential non-cutaneous finding associated with PG?

<p>Chronic liver disease (C)</p> Signup and view all the answers

What is a potential consequence of poorly controlled cutaneous PG?

<p>Severe pain and loss of mobility (D)</p> Signup and view all the answers

Which side effect is specifically mentioned for corticosteroid therapy in the context of PG treatment?

<p>Induction or worsening of diabetes (D)</p> Signup and view all the answers

Why should elective surgery be approached cautiously in patients with PG?

<p>To prevent the induction of new PG lesions through the pathergic phenomenon (C)</p> Signup and view all the answers

What can be a consequence of failing to recognize neutrophilic infiltration in internal organs in PG?

<p>Unnecessary surgical procedures (A)</p> Signup and view all the answers

What factors are likely to contribute to the etiology of PG?

<p>Genetic predisposition and paraimmune phenomena (D)</p> Signup and view all the answers

How does resection of diseased bowel affect PG skin healing?

<p>It leads to prompt skin healing within 2 months (B)</p> Signup and view all the answers

What improvement has been observed in bullous PG after treatment of acute myeloid leukemia?

<p>Regression of bullous PG (B)</p> Signup and view all the answers

Which cells are suggested to be important in the development of PG according to the text?

<p>T cells and lymphocytes (C)</p> Signup and view all the answers

What is postulated to occur due to the presence of a lymphocytic infiltrate at the active advancing border of PG lesions?

<p>Cytokine release and neutrophil recruitment (D)</p> Signup and view all the answers

Which inflammatory mediator is mentioned as a potent neutrophil chemotactic agent?

<p>IL-8 (C)</p> Signup and view all the answers

Which tissue, other than the skin, is mentioned as a location where neutrophils are present?

<p>Lung (C)</p> Signup and view all the answers

Which proinflammatory cytokine is NOT mentioned as being produced by TNF-α?

<p>IL-10 (D)</p> Signup and view all the answers

What is the genetic disorder associated with mutations in the PSTPIP1 gene?

<p>PAPA Syndrome (B)</p> Signup and view all the answers

What does PAPASH syndrome include, along with pyogenic sterile arthritis and PG?

<p>Cystic Acne (B)</p> Signup and view all the answers

Which syndrome results from an increased CCTG microsatellite repeat in the promoter region of the PSTPIP1 gene?

<p>PASH Syndrome (B)</p> Signup and view all the answers

What is the function of PSTPIP1 in relation to pyrin and the inflammasome?

<p>Regulates inflammasome activation (A)</p> Signup and view all the answers

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