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Red Nodules , or Erythematous areas ,
Tender
ALWAYS on the Anterior surface of lower extremities,
Generally , they don't Ulcerate (ulcerative form is related to chron's disease)
and Always think about secondary association to ;
1- Recent Streptococcal Infection (it's IMPORTANT check for ASO Levels and a history of a recent infection, it could diagnose an associated Rheumatic fever ! )
2- Granulomatous Conditions whether infective or Autoimmune , so Expect it with T.B., Histoplasmosis, coccidiodomycosis or Sarcoidosis
3- Inflammatory Bowel Diseases
it's a granulomatous Inflammatory condition affecting wall of blood vessels (it always intimidates me when I read the pathogenesis if it may be considered as a sort of secondary vasculitis, but this is purely from my mind , I haven't find this description in any book I've read before)
Primary Management is to treat the cause of the disease, also you can use NSAIDs as Ibuprofen.
Red Nodules , or Erythematous areas ,
Tender
ALWAYS on the Anterior surface of lower extremities,
Generally , they don't Ulcerate (ulcerative form is related to chron's disease)
and Always think about secondary association to ;
1- Recent Streptococcal Infection (it's IMPORTANT check for ASO Levels and a history of a recent infection, it could diagnose an associated Rheumatic fever ! )
2- Granulomatous Conditions whether infective or Autoimmune , so Expect it with T.B., Histoplasmosis, coccidiodomycosis or Sarcoidosis
3- Inflammatory Bowel Diseases
it's a granulomatous Inflammatory condition affecting wall of blood vessels (it always intimidates me when I read the pathogenesis if it may be considered as a sort of secondary vasculitis, but this is purely from my mind , I haven't find this description in any book I've read before)
Primary Management is to treat the cause of the disease, also you can use NSAIDs as Ibuprofen.
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