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Pathology

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GIT

Question
32 out of 53
 

Skin lesion most likely seen with ulcerative colitis is: (AIPG 2011)



A Pyoderma gangreosum
B Acrodermatitis

C Keratoderma blenorrhagica
D Pemphigoid

Ans. A Pyoderma gangreosum

a. The patient is most probably suffering from ulcerative colitis.

b. Along with it he has extraintestinal manifestation in the form of peripheral arthritis, which is seen in 15-20% of patients.

c. The skin lesion is pyoderma gangrenosum, which is seen in 1-12% of cases of inflammatory bowel disease.

d. Remember the following important points commonly asked in examination:

i. Diarrhoea (chronic) is the main presentation of ulcerative colitis.

ii. The earliest radiological change is fine mucosal granularity in barium enema.

iii. Loss of haustrations is a typical feature.

iv. Toxic megacolon is the most dangerous complication. Perforation of colon is the major danger.

v. Pseudopolyp formation is observed in ulcerative colitis.

vi. 5-ASA is the main treatment of ulcerative colitis.

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