Erythema Nodosum: Case Report

Abstract

Erythema nodosum is the most common form of panniculitis. It may have many etiological factors. Erythema nodosum occurs three to five times more often in female patients. It often appears as painful round nodules with erythema, located on the anterior surface of the lower extremities. Although systemic inflammatory diseases and infections take an important place in the etiology, it may also be idiopathic. Sarcoidosis is an inflammatory disease of which etiopathology has not yet been determined. In this study, a 51-year-old female patient was diagnosed with erythema nodosum in the evaluation made after applying with skin rashes. She was diagnosed as sarcoidosis while investigating the etiology of erythema nodosum. Erythema nodosum is an important guide in a disease full of uncertainties like sarcoidosis.

Keywords

• erythema nodosum
• panniculitis
• sarcoidosis

Eritema Nodozum: Olgu sunumu

Öz

Eritema nodozum, pannikülitin en yaygın şeklidir. Birçok etiyolojik faktöre sahip olabilir. Eritema nodozum, kadın hastalarda üç ila beş kat daha sıktır. Çoğunlukla alt ekstremitelerin ön yüzeyinde yer alan, eritemli ağrılı yuvarlak nodüller olarak görülür. Etiyolojide sistemik inflamatuvar hastalıklar, enfeksiyonlar önemli yer tutmakla birlikte idiyopatik de olabilir. Sarkoidoz, etyopatolojisi henüz kesin olarak saptanmamış inflamatuvar bir hastalıktır. Bu çalışmada 51 yaşında kadın hasta cilt döküntüleriyle başvurduktan sonra yapılan değerlendirmede eritema nodozum tanısı konulup etiyoloji araştırılırken sarkoidoz tanısı almıştır. Sarkoidoz gibi belirsizliklerle dolu bir hastalıkta Eritema nodosum önemli bir bulgudur.

Anahtar Kelimeler

• eritema nodosum
• pannikülit
• sarkoidoz

References

1. Referans1. Requena L, Requena C: Erythema nodosum. Dermatol Online J 2002, 8(1):4.
2. Referans2. Mert A TF: Eritema nodozum. Bilim Dialog 1994, 9:14.
3. Referans3. Chowaniec M, Starba A, Wiland P: Erythema nodosum - review of the literature. Reumatologia 2016, 54(2):79-82.
4. Referans4. García‐Porrúa C, González‐Gay MA, Vázquez‐Caruncho M, López‐Lazaro L, Lueiro M, Fernández ML, Alvarez‐Ferreira J, Pujol RM: Erythema nodosum: etiologic and predictive factors in a defined population. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology 2000, 43(3):584-592.
5. Referans5. Bondi EE MD, Lazarus GS: Panniculitis. In: Fitzpatrick’s Dermatology in General Medicine. Freedberg IM, Eisen AZ, Wolff K, et al (Eds) 1999( 5th ed):1284.
6. Referans6. Ali M: Eritema nodozum: 9 yillik deneyim. Cerrahpaşa Tıp Dergisi, 33(1).
7. Referans7. Valeyre D, Prasse A, Nunes H, Uzunhan Y, Brillet PY, Müller-Quernheim J: Sarcoidosis. Lancet 2014, 383(9923):1155-1167.
8. Referans8. Statement on sarcoidosis. Joint Statement of the American Thoracic Society (ATS), the European Respiratory Society (ERS) and the World Association of Sarcoidosis and Other Granulomatous Disorders (WASOG) adopted by the ATS Board of Directors and by the ERS Executive Committee, February 1999. Am J Respir Crit Care Med 1999, 160(2):736-755.

9. Referans9. Ruocco E, Gambardella A, Langella GG, Lo Schiavo A, Ruocco V: Cutaneous sarcoidosis: an intriguing model of immune dysregulation. Int J Dermatol 2015, 54(1):1-12.