MRCEM Notes

Erythema nodosum

Overview
  • inflammation of subcutaneous fat
  • typically causes tender, erythematous, nodular lesions
  • usually occurs over shins, may also occur elsewhere (e.g. forearms, thighs)
  • usually resolves within 6 weeks
  • lesions heal without scarring

Causes
  • infection: streptococci, TB, brucellosis
  • systemic disease: sarcoidosis, inflammatory bowel disease, Behcet's
  • malignancy/lymphoma
  • drugs: penicillins, sulphonamides, combined oral contraceptive pill
  • pregnancy

© Image used on license from DermNet NZ

© Image used on license from DermNet NZ and with the kind permission of Prof Raimo Suhonen
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