Erythema nodosum - Eritem Nodos
☆ În rezultatele Stiftung Warentest din Germania din 2022, satisfacția consumatorilor față de ModelDerm a fost doar puțin mai mică decât în cazul consultațiilor plătite de telemedicină.
Apare ca un nodul eritematos dureros pe picior.
References
Erythema nodosum este cel mai frecvent tip de paniculită, caracterizată prin noduli roșii dureroși, întâlniți în principal pe picioarele inferioare. Cauza sa exactă rămâne necunoscută, dar pare să rezulte dintr-un răspuns exagerat la diferiți factori declanșatori. Deși originea sa este adesea incertă, este esențial să excludem alte afecțiuni de bază înainte de a diagnostica primary erythema nodosum. Poate indica apariția unor boli sistemice, cum ar fi infecții, inflamații, cancer sau reacții la medicamente. Declanșatoarele obișnuite includ strep infections, tuberculosis, sarcoidosis, Behçet's disease, inflammatory bowel disease, certain medications, 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.
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 se referă la un set divers de afecțiuni inflamatorii care afectează țesutul adipos de sub piele. Aceste afecțiuni sunt mai puțin frecvente la copii. Panniculitis poate fi fie problema principală într-o afecțiune sistemică, fie o reacție secundară unor factori precum infecția, rănirea sau anumite medicamente. Indiferent de cauză, cele mai multe tipuri de panniculitis prezintă simptome similare, inclusiv noduli dureroși, roșii sub piele.
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 , o inflamație a stratului de grăsime de sub piele, este o afecțiune rară care se manifestă de obicei sub formă de noduli sau plasturi umflați. Erythema nodosum (EN) este cel mai frecvent tip, adesea declanșat de diverși factori. În timp ce aproximativ 55% din cazuri nu au o cauză clară, declanșatorii obișnuiți includ infecții, medicamente, anumite boli precum sarcoidoza și boala inflamatorie intestinală, sarcina și cancerul. EN apare de obicei la adolescenți și adulții tineri, mai des la femei. Este adesea precedat de un sentiment general de boală care durează una până la trei săptămâni, cu simptome precum febră și probleme respiratorii superioare. Apoi, apar noduli roșii, de obicei pe părțile exterioare ale brațelor și picioarelor, provocând durere. Cauza exactă a EN nu este pe deplin înțeleasă, dar se crede că implică complexe imune din vasele de sânge mici ale stratului de grăsime, ceea ce duce la inflamație. De obicei, o biopsie arată inflamația în stratul de grăsime fără deteriorarea vaselor de sânge. Chiar și fără tratament specific pentru cauza de bază, EN se rezolvă adesea de la sine. Deci, majoritatea pacienților au nevoie doar de îngrijire de susținere pentru simptomele lor.
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.
Eritemul nodos este diagnosticat clinic. O biopsie poate fi luată și examinată microscopic pentru a confirma un diagnostic incert. Ar trebui efectuată o radiografie toracică pentru a exclude bolile pulmonare, în special sarcoidoza și tuberculoza.