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Erythema nodosum

Erythema nodosum

This table offers a comprehensive overview of Erythema Nodosum, listing its clinical presentations, evolutionary stages, potential causes, and primary diagnostic measures. By amalgamating key features and associated conditions, it serves as a succinct reference for clinicians and medical students to understand this inflammatory skin condition and its broader implications.

FeatureDescription/Examples
Basic DescriptionInflammatory condition with tender, red nodules mainly on anterior shins, occasionally thighs & forearms.
HistopathologyMainly septal panniculitis without vasculitis.
Evolution of NodulesBegin as erythematous nodules, turning livid red or purplish, and eventually resemble a deep bruise. No ulceration or scarring.
Prodromal PhaseNon-specific symptoms over 3-6 days including fever, joint pain, and often nasopharyngeal infections.
Stade PhaseRapid onset (1-2 days) with persisting fever and arthralgia. Appearance of nodules on extensor surfaces of legs, knees, thighs, and forearms.
Regressive PhaseSpontaneous evolution over ten days per nodule, with color changes and no necrosis, ulceration, or scarring. Multiple flare-ups possible over 4-8 weeks.
Clinical PresentationAcute emergence of sensitive, erythematous nodules and plaques measuring 1–6 cm in diameter; coexistent lesions of varying stages.
Idiopathic Cases30% to 50% cases show no identifiable cause.
Infectious Causes- Bacterial: Streptococcal pharyngitis, Tuberculosis, Yersinia species, etc.
- Viral...

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