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Erythema nodosum

Erythema nodosum

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Published by medpedshospitalist
Lecture I presented as a Med-Peds senior resident about the differential diagnosis and management of Erythema Nodosum.
Lecture I presented as a Med-Peds senior resident about the differential diagnosis and management of Erythema Nodosum.

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Published by: medpedshospitalist on Sep 14, 2009
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12/21/2012

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ERYTHEMA NODOSUMRYTHEMA NODOSUM
MOISES AURON MDMOISES AURON MDINTERNAL MEDICINE – PEDIATRICSINTERNAL MEDICINE – PEDIATRICSJULY 2007JULY 2007
 
 
Erythema nodosumrythema nodosum
Panniculitis (most frequent)Panniculitis (most frequent)
 –affects subcutaneous fat in the skinaffects subcutaneous fat in the skin –erythematous nodules and plaques - thaterythematous nodules and plaques - thatare extremely sensitive to touch.are extremely sensitive to touch.
pretibialpretibial
symmetricsymmetric
WarmWarm
Become livid red or purplish and thenBecome livid red or purplish and thenyellowish (echymmotic appearance).yellowish (echymmotic appearance).
 
 
Historyistory
Originally described in 1798 by the EnglishOriginally described in 1798 by the Englishdermatologist, Willan, in his classic monograph ondermatologist, Willan, in his classic monograph onerythemas, emphasized the higher frequency of theerythemas, emphasized the higher frequency of theprocess in women.process in women.
The disorder was further delineated by Wilson inThe disorder was further delineated by Wilson in1842, who considered erythema nodosum to be a1842, who considered erythema nodosum to be apart of erythema multiforme because he hadpart of erythema multiforme because he hadobserved urticaria, figurate erythema, purpura, andobserved urticaria, figurate erythema, purpura, andthe nodose lesions to overlap.the nodose lesions to overlap.
Hebra, in 1860, expanded the clinical characteristicsHebra, in 1860, expanded the clinical characteristicsof the process and described the color changes inof the process and described the color changes inthe evolution of the lesions, proposing the termthe evolution of the lesions, proposing the termdermatitis contusiformis to name the disorder.dermatitis contusiformis to name the disorder.

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