Erythema nodosum

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 in a person who had recently had streptococcal pharyngitis
A single lesion of erythema nodosum.
Erythema nodosum.JPG
  • Painful
  • Non-ulcerative nodules
  • Violaceous, erythematous
  • Usually anterior tibia, arms, trunk

Differential Diagnosis

Evaluation

Erythema nodosum. (A) Symmetric, smooth and shiny, erythematous nodules affecting the both shins of the parient. (B) Classical appearance of septal inflammation.
  • Clinical diagnosis

Management

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

Disposition

  • Typically outpatient

References