Erythema nodosum: Difference between revisions
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==Background== | ==Background== | ||
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*Often marker for systemic disease | *Often marker for systemic disease | ||
*Most common in women 30-50 years of age | *Most common in women 30-50 years of age | ||
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===Associated Disease Processes=== | ===Associated Disease Processes=== | ||
*Most often idiopathic | |||
*Drug induced (OCPs, sulfonamides, PCN) | *Drug induced (OCPs, sulfonamides, PCN) | ||
*[[Tuberculosis]] | *[[Tuberculosis]] | ||
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*[[Cat scratch disease]] | *[[Cat scratch disease]] | ||
*[[Mononucleosis]] | *[[Mononucleosis]] | ||
*Streptococcal [[pharyngitis]] | *Streptococcal [[pharyngitis]] (most common identifiable cause)<ref>Schwartz, R., Nervi, S. Am Fam Physician. 2007 Mar 1;75(5):695-700. https://www.aafp.org/afp/2007/0301/p695.html</ref> | ||
*Normal [[pregnancy]] | *Normal [[pregnancy]] | ||
*Malignancy (leukemia, lymphoma) | *Malignancy (leukemia, lymphoma) | ||
Latest revision as of 16:23, 11 December 2024
Background
- Often marker for systemic disease
- Most common in women 30-50 years of age
- 1:6 male to female
- Usually a self-limited disease, resolving in 3-6 wks
Associated Disease Processes
- Most often idiopathic
- Drug induced (OCPs, sulfonamides, PCN)
- Tuberculosis
- Fungal disease (Coccidioidomycosis, Histoplasmosis)
- Sarcoidosis
- Ulcerative colitis
- Crohn's disease
- Behcet's disease
- Cat scratch disease
- Mononucleosis
- Streptococcal pharyngitis (most common identifiable cause)[1]
- Normal pregnancy
- Malignancy (leukemia, lymphoma)
Clinical Features
- Painful
- Non-ulcerative nodules
- Violaceous, erythematous
- Usually anterior tibia, arms, trunk
Differential Diagnosis
- Erysipelas
- Erythema induratum (nodular vasculitis)
- Familial Mediterranean Fever
- Insect bites
- Superficial thrombophlebitis
- Thrombophlebitis
- Urticaria
Evaluation
- Clinical diagnosis
Management
- Treat underlying cause
- NSAIDs
- Potassium Iodide
- RICE, cool wet compresses
Disposition
- Typically outpatient
References
- Hebel et al. Erythema Nodosum. Apr 13, 2015. http://emedicine.medscape.com/article/1081633-overview
- ↑ Schwartz, R., Nervi, S. Am Fam Physician. 2007 Mar 1;75(5):695-700. https://www.aafp.org/afp/2007/0301/p695.html