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Erythema nodosum
From WikEM
Background
- Often marker for systemic disease
- Most common in women 30-50 years of age
- 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
- Sarcoidosis
- Ulcerative colitis
- Crohn's disease
- Behcet's disease
- Cat scratch disease
- Mononucleosis
- Streptococcal pharyngitis
- Normal pregnancy
- Malignancy (leukemia, lymphoma)
Management
- Treat underlying cause
- NSAIDs
- RICE, cool wet compresses
References
- Hebel et al. Erythema Nodosum. Apr 13, 2015. http://emedicine.medscape.com/article/1081633-overview
