Erythema nodosum
☆ I Stiftung Warentest-resultaten 2022 från Tyskland var konsumentnöjdheten med ModelDerm bara något lägre än med betalda telemedicinkonsultationer.
Det verkar som en smärtsam erytematös knöl på benet.
References
Erythema nodosum är den vanligaste typen av pannikulit, kännetecknad av smärtsamma röda knölar, främst på underbenen. Dess exakta orsak är fortfarande okänd, men det verkar bero på ett överdrivet svar på olika triggers. Även om dess ursprung ofta är osäkert, är det viktigt att utesluta andra underliggande tillstånd innan diagnos primary erythema nodosum. Det kan indikera uppkomsten av systemiska sjukdomar som infektioner, inflammation, cancer eller reaktioner på medicinering. Vanliga triggers inkluderar 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 hänvisar till en mängd olika inflammatoriska tillstånd som påverkar fettvävnaden under huden. Dessa tillstånd är ovanliga hos barn. Panniculitis kan antingen vara huvudproblemet i ett systemiskt tillstånd eller en reaktion sekundär till faktorer som infektion, skada eller vissa mediciner. Oavsett orsak visar de flesta typer av panniculitis liknande symtom, inklusive smärtsamma, röda knölar under huden.
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 , en inflammation i fettlagret under huden, är ett sällsynt tillstånd som vanligtvis visar sig som svullna knölar eller fläckar. Erythema nodosum (EN) är den vanligaste typen, ofta utlöst av olika faktorer. Medan cirka 55% av fallen inte har någon tydlig orsak, inkluderar vanliga triggers infektioner, mediciner, vissa sjukdomar som sarkoidos och inflammatorisk tarmsjukdom, graviditet och cancer. EN förekommer vanligtvis hos tonåringar och unga vuxna, oftare hos kvinnor. Det föregås ofta av en allmän sjukdomskänsla som varar en till tre veckor, med symtom som feber och övre luftvägsproblem. Sedan uppstår röda knölar, vanligtvis på de yttre sidorna av armar och ben, vilket orsakar smärta. EN:s exakta orsak är inte helt klarlagd, men det tros involvera immunkomplex i små blodkärl i fettlagret, vilket leder till inflammation. Vanligtvis visar en biopsi inflammation i fettlagret utan skador på blodkärlen. Även utan specifik behandling för den bakomliggande orsaken löser EN ofta av sig själv. Så de flesta patienter behöver bara stödjande vård för sina symtom.
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.
Erythema nodosum diagnostiseras kliniskt. En biopsi kan tas och undersökas mikroskopiskt för att bekräfta en osäker diagnos. En lungröntgen bör göras för att utesluta lungsjukdomar, i synnerhet sarkoidos och tuberkulos.