Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

Which treatment options are commonly used for pyoderma gangrenosum?

1. Topical antimicrobials and iodine dressings

2. Surgical intervention and radiation therapy

3. Systemic/topical steroids and pain management

4. Antidepressants and anti-anxiety medications

The correct answer is: Systemic/topical steroids and pain management

The use of systemic or topical steroids, along with pain management, is a cornerstone in the treatment of pyoderma gangrenosum. This condition is characterized by painful ulcers that can be difficult to manage. Corticosteroids help to reduce inflammation and control the immune response, which is crucial since pyoderma gangrenosum is often associated with underlying systemic diseases and an aberrant immune reaction. By mitigating inflammation, steroids can facilitate healing and improve patient comfort. Pain management is also a critical component of treatment since the lesions can be very painful, affecting the patient’s quality of life. Providing analgesics and support for pain relief is essential in the overall management plan. The other options listed do not adequately address the pathophysiology of pyoderma gangrenosum or are not used in standard treatment protocols. Topical antimicrobials and iodine dressings are less effective since the condition is not primarily caused by an infection. Surgical interventions can sometimes exacerbate the disease, and radiation therapy is typically not a first-line treatment, making these options less favorable. Furthermore, while antidepressants and anti-anxiety medications may play a role in overall mental health management for patients, they do not directly address the biological aspects of pyoderma