Erythema nodosum: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
[[File:erythema nodosum.JPG|thumbnail]] | |||
*Painful | *Painful | ||
*Non-ulcerative nodules | *Non-ulcerative nodules | ||
*Violaceous, erythematous | *Violaceous, erythematous | ||
*Usually anterior tibia, arms, trunk | *Usually anterior tibia, arms, trunk | ||
==Associated Disease Processes== | ==Associated Disease Processes== | ||
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*Normal [[pregnancy]] | *Normal [[pregnancy]] | ||
*Malignancy (leukemia, lymphoma) | *Malignancy (leukemia, lymphoma) | ||
==Evaluation== | |||
==Management== | ==Management== | ||
*Treat underlying cause | *Treat underlying cause | ||
*NSAIDs | *[[NSAIDs]] | ||
*RICE, cool wet compresses | *RICE, cool wet compresses | ||
==Disposition== | |||
==References== | ==References== | ||
Revision as of 13:08, 27 February 2018
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
Clinical Features
- Painful
- Non-ulcerative nodules
- Violaceous, erythematous
- Usually anterior tibia, arms, trunk
Associated Disease Processes
- Drug induced (OCPs, sulfonamides, PCN)
- Tuberculosis
- Fungal disease (commonly Coccidioidomycosis)
- Sarcoidosis
- Ulcerative colitis
- Crohn's disease
- Behcet's disease
- Cat scratch disease
- Mononucleosis
- Streptococcal pharyngitis
- Normal pregnancy
- Malignancy (leukemia, lymphoma)
Evaluation
Management
- Treat underlying cause
- NSAIDs
- RICE, cool wet compresses
Disposition
References
- Hebel et al. Erythema Nodosum. Apr 13, 2015. http://emedicine.medscape.com/article/1081633-overview