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Why This Matters

PG is often linked with IBD and other systemic conditions, so approaches that treat the underlying comorbidity can improve ulcer healing and lower relapse risk. Patients with IBD who develop PG may benefit from therapies chosen to control both gut and skin disease.

Who Should Pay Attention

Adults with IBD who develop pyoderma gangrenosum, dermatologists, gastroenterologists, rheumatologists, and clinicians managing complex immune-mediated disease

Study Snapshot

Story typeResearch paper
Evidence typeResearch paper
Source depthJournal abstract

What To Know

This clinical review proposes managing PG by targeting comorbid systemic drivers — for example, using anti-TNF therapies when PG occurs alongside IBD, IL-1 blockade for autoinflammatory syndromes, or JAK inhibitors for overlap with inflammatory arthritis.

The paper summarizes clinical trials, case series, and real-world reports and recommends aligning dermatologic and systemic therapy to improve healing and reduce recurrence.

The review discusses biologic and small-molecule options (anti-TNF agents, IL-1 blockers, JAK inhibitors, IL-12/23 pathway agents) and emphasizes individualized treatment choices based on the patient’s comorbidities rather than empiric skin-directed therapy alone.

Clinical implications include closer coordination between dermatology, gastroenterology, and rheumatology when PG coexists with IBD or other systemic disease; selecting therapy that treats both the skin and the systemic condition may offer more durable ulcer healing.

Keep In Mind

This content is an academic review (Journal of the American Academy of Dermatology) and the provided text is an abstract-level summary; it synthesizes clinical trials, case series, and real-world reports rather than reporting new trial results.

Source Details

Review the original publication for the complete reporting, methods, and context.

Read Original Source
Research paper Evidence type derived from source or registry metadata.
PublicationJournal of the American Academy of Dermatology
AuthorsHouriah Y Nukaly, Dirk M Elston
InstitutionMaster of Medical Sciences in Clinical Investigation, Harvard Medical School, Boston, Massachusetts, USA.
Study typeJournal article, review
Indexed viaPubMed
Source typeResearch paper
PublishedAug 27, 2026, 12:00 AM
Content availableJournal abstract

This Cure8 brief is based on source text from the linked article. Cure8 is informational only and is not a substitute for professional medical advice, diagnosis, or treatment.

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