Presentation
Patients typically present with a firm breast mass, often associated with inflammation of the overlying skin. Nipple retraction, peau d’orange-like changes, and axillary adenopathy may be present. [scinapse.io]
Clinical presentation of erythema nodosum. Post N Med 2018; XXXI(1A): 25-28. [ Links ] 9. Ayse O, Pinar IU, Buket S, Basak Y. Data analysis of 287 patients present with erythema nodosum: A closer look at associations. [scielo.org.co]
It presents as tender red nodules on the shins that are smooth and shiny. [sites.google.com]
Entire Body System
- Lymphadenopathy
Hilar lymphadenopathy may be due to tuberculosis, sarcoidosis, or Löfgren syndrome (a form of acute sarcoidosis with erythema nodosum, bilateral hilar adenopathy, fever and often accompanied by joint symptoms). [sites.google.com]
Skin
- Skin Lesion
The nodules usually subside over a period of 2–6 weeks without ulceration or scarring.[6] Dermatophytids are similar skin lesions that result from a fungus infection such as ringworm in another area of the body. Diagnosis Diagnosis is clinical. [sites.google.com]
Workup
Microbiology
- Chlamydia
Étiologique Infections Brucellose Hépatites (Virus A, B, C) Infection à "Chlamydia" Infection à "Salmonelle" (Salmonellose) Infection digestive à "Yersinia enterocolitica" Lèpre Maladie des griffes du chat Mycoses profondes Primo-infection de la tuberculose [sites.google.com]
Treatment
The treatment of IGM is challenging as there is a lack of consensus in the literature and treatment options vary widely. [scinapse.io]
Treatment of chronic erythema nodosum with infliximab. Clin Exp Dermatol 2006; 31:823. 8. Cox NH, Jorizzo JL, Bourke JF, Savage COS. Vasculitis, neutrophilic dermatoses and related disorders. [ricardoruizdeadana.blogspot.com]
Treatment Treatment should focus on the underlying cause. [sites.google.com]
Etiology
It is related to various etiological factors. The treatment of IGM is challenging as there is a lack of consensus in the literature and treatment options vary widely. [scinapse.io]
Erythema nodosum: etiologic and predictive factors in a defined population. Arthritis Rheum. 2000;43(3):584-92. [ Links ] 22. Truelove LH. Articular manifestations of erythema nodosum. Ann. rheum. Dis. (1960), 19, 174-180. [ Links ] 23. [scielo.org.co]
Epidemiology
Epidemiology Erythema nodosum is the most common form of panniculitis (inflammation of the subcutaneous fat). The peak incidence of EN occurs between 20–30 years of age. [sites.google.com]