Erythema nodosum: Difference between revisions

No edit summary
No edit summary
Line 5: Line 5:
*Usually a self-limited disease, resolving in 3-6 wks
*Usually a self-limited disease, resolving in 3-6 wks


==Clinical Features==
===Associated Disease Processes===
[[File:erythema nodosum.JPG|thumbnail]]
*Painful
*Non-ulcerative nodules
*Violaceous, erythematous
*Usually anterior tibia, arms, trunk
 
==Associated Disease Processes==
*Drug induced (OCPs, sulfonamides, PCN)
*Drug induced (OCPs, sulfonamides, PCN)
*[[Tuberculosis]]
*[[Tuberculosis]]
Line 25: Line 18:
*Normal [[pregnancy]]
*Normal [[pregnancy]]
*Malignancy (leukemia, lymphoma)
*Malignancy (leukemia, lymphoma)
==Clinical Features==
[[File:erythema nodosum.JPG|thumbnail]]
*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==
==Evaluation==

Revision as of 13:14, 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

Associated Disease Processes

Clinical Features

Erythema nodosum.JPG
  • 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

Management

  • Treat underlying cause
  • NSAIDs
  • RICE, cool wet compresses

Disposition

References