Erythema nodosum - Érythème Noueux
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Dans les résultats du Stiftung Warentest 2022 en Allemagne, la satisfaction des consommateurs avec ModelDerm n'était que légèrement inférieure à celle des consultations de télémédecine payantes.
Il apparaît comme un nodule rouge et douloureux sur la jambe.
relevance score : -100.0%
ReferencesErythema nodosum est le type de panniculite le plus courant, caractérisé par des nodules rouges douloureux que l’on trouve principalement sur le bas des jambes. Sa cause exacte reste inconnue, mais elle semble résulter d’une réponse exagérée à divers déclencheurs. Bien que son origine soit souvent incertaine, il est essentiel d’exclure d’autres affections sous-jacentes avant de diagnostiquer primary erythema nodosum. Cela peut révéler la présence de maladies systémiques telles que des infections, une inflammation, un cancer ou des réactions à des médicaments. Les déclencheurs courants incluent strep infections (infections streptococciques), tuberculosis (tuberculose), sarcoidosis (sarcoïdose), Behçet's disease (maladie de Behçet), inflammatory bowel disease (maladie inflammatoire de l’intestin), certain medications (certains médicaments) et pregnancy (grossesse).
Erythema nodosum is the most common form of panniculitis and is characterized by tender erythematous nodules mainly in the lower limbs on the pretibial area. The exact cause of erythema nodosum is unknown, although it appears to be a hypersensitivity response to a variety of antigenic stimuli. Although the etiology is mostly idiopathic, ruling out an underlying disease is imperative before diagnosing primary erythema nodosum. Erythema nodosum can be the first sign of a systemic disease that is triggered by a large group of processes, such as infections, inflammatory diseases, neoplasia, and/or drugs. The most common identifiable causes are streptococcal infections, primary tuberculosis, sarcoidosis, Behçet disease, inflammatory bowel disease, drugs, and pregnancy.
Erythema nodosum is the most common form of panniculitis and is characterized by tender erythematous nodules mainly in the lower limbs on the pretibial area. The exact cause of erythema nodosum is unknown, although it appears to be a hypersensitivity response to a variety of antigenic stimuli. Although the etiology is mostly idiopathic, ruling out an underlying disease is imperative before diagnosing primary erythema nodosum. Erythema nodosum can be the first sign of a systemic disease that is triggered by a large group of processes, such as infections, inflammatory diseases, neoplasia, and/or drugs. The most common identifiable causes are streptococcal infections, primary tuberculosis, sarcoidosis, Behçet disease, inflammatory bowel disease, drugs, and pregnancy.
Panniculitis désigne un ensemble diversifié de conditions inflammatoires affectant le tissu adipeux sous la peau. Ces affections sont rares chez les enfants. Panniculitis peut être le problème principal d’une maladie systémique ou une réaction secondaire à des facteurs tels qu’une infection, une blessure ou certains médicaments. Quelle que soit la cause, la plupart des formes de panniculitis présentent des symptômes similaires, notamment des nodules rouges et douloureux sous la peau.
Panniculitides form a heterogenous group of inflammatory diseases that involve the subcutaneous adipose tissue. These disorders are rare in children and have many aetiologies. As in adults, the panniculitis can be the primary process in a systemic disorder or a secondary process that results from infection, trauma or exposure to medication. Some types of panniculitis are seen more commonly or exclusively in children, and several new entities have been described in recent years. Most types of panniculitis have the same clinical presentation (regardless of the aetiology), with tender, erythematous subcutaneous nodules.
Panniculitides form a heterogenous group of inflammatory diseases that involve the subcutaneous adipose tissue. These disorders are rare in children and have many aetiologies. As in adults, the panniculitis can be the primary process in a systemic disorder or a secondary process that results from infection, trauma or exposure to medication. Some types of panniculitis are seen more commonly or exclusively in children, and several new entities have been described in recent years. Most types of panniculitis have the same clinical presentation (regardless of the aetiology), with tender, erythematous subcutaneous nodules.
Panniculitis, une inflammation de la couche adipeuse sous la peau, est une maladie rare qui se manifeste généralement par des nodules ou des plaques enflées. Erythema nodosum (EN) est le type le plus courant, souvent déclenché par divers facteurs. Bien qu'environ 55 % des cas n'aient pas de cause claire, les déclencheurs courants incluent les infections, les médicaments, certaines maladies comme la sarcoïdose et les maladies inflammatoires de l'intestin, la grossesse et le cancer. L'EN apparaît généralement chez les adolescents et les jeunes adultes, plus souvent chez les femmes. Elle est souvent précédée d'une sensation générale de malaise durant une à trois semaines, accompagnée de fièvre et de symptômes des voies respiratoires supérieures. Ensuite, des nodules rouges apparaissent, généralement sur les côtés extérieurs des bras et des jambes, provoquant des douleurs. La cause exacte de l'EN n'est pas entièrement comprise, mais on pense qu'elle implique des complexes immunitaires dans les petits vaisseaux sanguins de la couche adipeuse, conduisant à une inflammation. En règle générale, une biopsie montre une inflammation de la couche adipeuse sans atteinte des vaisseaux sanguins. Même sans traitement spécifique de la cause sous‑jacent, l'EN se résout souvent d’elle-même. Ainsi, la plupart des patients n'ont besoin que de soins de soutien pour leurs symptômes.
Panniculitis, an inflammation of the fat layer under the skin, is a rare condition usually showing up as swollen nodules or patches. Erythema nodosum (EN) is the most common type, often triggered by various factors. While around 55% of cases have no clear cause, common triggers include infections, medications, certain diseases like sarcoidosis and inflammatory bowel disease, pregnancy, and cancer. EN usually appears in teens and young adults, more often in females. It's often preceded by a general feeling of illness lasting one to three weeks, with symptoms like fever and upper respiratory issues. Then, red nodules appear, usually on the outer sides of arms and legs, causing pain. EN's exact cause isn't fully understood, but it's believed to involve immune complexes in small blood vessels of the fat layer, leading to inflammation. Typically, a biopsy shows inflammation in the fat layer without damage to blood vessels. Even without specific treatment for the underlying cause, EN often resolves on its own. So, most patients need only supportive care for their symptoms.
Panniculitis, an inflammation of the fat layer under the skin, is a rare condition usually showing up as swollen nodules or patches. Erythema nodosum (EN) is the most common type, often triggered by various factors. While around 55% of cases have no clear cause, common triggers include infections, medications, certain diseases like sarcoidosis and inflammatory bowel disease, pregnancy, and cancer. EN usually appears in teens and young adults, more often in females. It's often preceded by a general feeling of illness lasting one to three weeks, with symptoms like fever and upper respiratory issues. Then, red nodules appear, usually on the outer sides of arms and legs, causing pain. EN's exact cause isn't fully understood, but it's believed to involve immune complexes in small blood vessels of the fat layer, leading to inflammation. Typically, a biopsy shows inflammation in the fat layer without damage to blood vessels. Even without specific treatment for the underlying cause, EN often resolves on its own. So, most patients need only supportive care for their symptoms.
L'érythème noueux est diagnostiqué cliniquement. Une biopsie peut être réalisée et examinée au microscope pour confirmer un diagnostic incertain. Une radiographie pulmonaire doit être effectuée afin d'écarter les maladies pulmonaires, notamment la sarcoïdose et la tuberculose.