BOF: 43
A twenty four year old female who is known to have
ulcerative colitis presents with an ulcer above the medial malleolus. This is
large has a necrotic base and the edges are undermined.
In this patient:
a)
Immediate treatment should be with broad spectrum antibiotics
b)
High dose steroids should be used in the first instance
c)
Surgery is the first line treatment of the ulcer
d)
Treatment of the colitis with high dose mesalazine preparation will
cause the ulcer to heal
e)
Colectomy is indicated
Answer:
b)
The patient has pyoderma gangrenosum complicating
ulcerative colitis. The initial treatment should be with high dose steroids.
