{"id":1834,"date":"2020-05-18T20:58:28","date_gmt":"2020-05-19T03:58:28","guid":{"rendered":"https:\/\/up.physicaldiagnosispdx.com\/up\/?page_id=1834"},"modified":"2020-12-24T22:32:15","modified_gmt":"2020-12-25T06:32:15","slug":"erythema-nodosum","status":"publish","type":"page","link":"https:\/\/up.physicaldiagnosispdx.com\/up\/gastroentereology-m\/erythema-nodosum\/","title":{"rendered":"Erythema Nodosum"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row css=&#8221;.vc_custom_1592015504575{background-color: #fff9f9 !important;}&#8221;][vc_column][vc_column_text]<span style=\"font-size: 14pt;\">Characterized by red, painful nodules (histologically it is a panniculitis) most often seen on the lower extremities (shins, calves, thighs, ankles) and it generally flares when the inflammatory bowel disease flares.&nbsp;Erythema nodosum is also seen in TB, sarcoidosis, some strep infections, and as an allergic response to certain medications.<\/span><br \/>\n<figure id=\"attachment_1658\" aria-describedby=\"caption-attachment-1658\" style=\"width: 150px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/up.physicaldiagnosispdx.com\/up\/gastroenterology-2\/gastroenterology\/#Erythema_nodosum-2\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-1658 size-thumbnail\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308-150x150.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308-150x150.png 150w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308-300x300.png 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/iconfinder_3_1250308.png 512w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a><figcaption id=\"caption-attachment-1658\" class=\"wp-caption-text\">&nbsp;<\/figcaption><\/figure>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1>Patient 1:<\/h1>\n<p><span style=\"font-size: 14pt;\">This is a previously healthy young man with L\u00f6fgren&#8217;s syndrome. Note the inflammation around the ankles, which is highly characteristic of L\u00f6fgren&#8217;s syndrome.<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592015519929{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][vc_column_text][\/vc_column_text][vc_column_text][\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text]<div id='gallery-1' class='gallery galleryid-1834 gallery-columns-3 gallery-size-medium'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/rheumatology_sarcoidosis_lofgrens-syndrome_erythema-nodosum_sarcoidosis-e-nodosa1-2\/'><img loading=\"lazy\" decoding=\"async\" width=\"225\" height=\"300\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_Sarcoidosis-E-Nodosa1-1-225x300.jpeg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_Sarcoidosis-E-Nodosa1-1-225x300.jpeg 225w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_Sarcoidosis-E-Nodosa1-1-768x1024.jpeg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_Sarcoidosis-E-Nodosa1-1-1152x1536.jpeg 1152w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_Sarcoidosis-E-Nodosa1-1-1536x2048.jpeg 1536w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/rheumatology_sarcoidosis_lofgrens-syndrome_erythema-nodosum_sarcoid-e-nodosa2-2\/'><img loading=\"lazy\" decoding=\"async\" width=\"225\" height=\"300\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_Sarcoid-e-nodosa2-1-225x300.jpeg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_Sarcoid-e-nodosa2-1-225x300.jpeg 225w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_Sarcoid-e-nodosa2-1-768x1024.jpeg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_Sarcoid-e-nodosa2-1-1152x1536.jpeg 1152w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_Sarcoid-e-nodosa2-1-1536x2048.jpeg 1536w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/rheumatology_sarcoidosis_lofgrens-syndrome_erythema-nodosum_img_2194-2\/'><img loading=\"lazy\" decoding=\"async\" width=\"225\" height=\"300\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_IMG_2194-1-225x300.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_IMG_2194-1-225x300.jpg 225w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_IMG_2194-1-768x1024.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_IMG_2194-1-1152x1536.jpg 1152w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_IMG_2194-1-1536x2048.jpg 1536w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/4&#8243;][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1>Patient 2:<\/h1>\n<p><span style=\"font-size: 14pt;\">This is a previously healthy young man with L\u00f6fgren&#8217;s syndrome. Note the inflammation around the ankles, which is highly characteristic of L\u00f6fgren&#8217;s syndrome.<\/span>[\/vc_column_text][vc_column_text][\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592015534426{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][\/vc_column][vc_column width=&#8221;3\/4&#8243;][vc_column_text]<div id='gallery-2' class='gallery galleryid-1834 gallery-columns-3 gallery-size-medium'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/gastroentereology-m\/erythema-nodosum\/rheumatology_sarcoidosis_lofgrens-syndrome_erythema-nodosum_img_9390\/'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"225\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_IMG_9390-scaled-300x225.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_IMG_9390-scaled-300x225.jpg 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_IMG_9390-scaled-1024x768.jpg 1024w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_IMG_9390-scaled-768x576.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_IMG_9390-scaled-1536x1152.jpg 1536w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_IMG_9390-scaled-2048x1536.jpg 2048w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/rheumatology_sarcoidosis_lofgrens-syndrome_erythema-nodosum_lofgren2\/'><img loading=\"lazy\" decoding=\"async\" width=\"225\" height=\"300\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_lofgren2-225x300.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_lofgren2-225x300.jpg 225w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_lofgren2.jpg 500w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1>Patient 3:<\/h1>\n<p><span style=\"font-size: 14pt;\">This is a previously healthy young man with L\u00f6fgren&#8217;s syndrome. Note the inflammation around the ankles, which is highly characteristic of L\u00f6fgren&#8217;s syndrome.<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592015561191{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][vc_column_text][\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text]<div id='gallery-3' class='gallery galleryid-1834 gallery-columns-3 gallery-size-medium'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/gastroentereology-m\/erythema-nodosum\/rheumatology_sarcoidosis_lofgrens-syndrome_erythema-nodosum_lofgrens_en2\/'><img loading=\"lazy\" decoding=\"async\" width=\"225\" height=\"300\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_Lofgrens_EN2-scaled-225x300.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_Lofgrens_EN2-scaled-225x300.jpg 225w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_Lofgrens_EN2-scaled-768x1024.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_Lofgrens_EN2-scaled-1152x1536.jpg 1152w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_Lofgrens_EN2-scaled-1536x2048.jpg 1536w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Rheumatology_Sarcoidosis_Lofgrens-Syndrome_Erythema-Nodosum_Lofgrens_EN2-scaled.jpg 1920w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/4&#8243;][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h1>Patient 4:<\/h1>\n<p><span style=\"font-size: 14pt;\">This is a young man who presented with several months of abdominal pain, weight loss, and blood diarrhea, and was found to have erythema nodosum on examination, and ultimately diagnosed with inflammatory bowel disease.<\/span><\/p>\n<p><a href=\"https:\/\/www.amazon.com\/Frameworks-Internal-Medicine-Andre-Mansoor\/dp\/1496359305\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-size: 14pt;\">Image courtesy of &#8220;Frameworks for Internal Medicine&#8221;<\/span><\/a>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1592015587220{background-color: #dcd9dd !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][\/vc_column][vc_column width=&#8221;3\/4&#8243;][vc_column_text]<div id='gallery-4' class='gallery galleryid-1834 gallery-columns-3 gallery-size-medium'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/gastroenterology_inflammatory-bowel-disease_erythema-nodosum_erythema-nodosum2-2\/'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"225\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Inflammatory-Bowel-Disease_Erythema-Nodosum_Erythema-Nodosum2-1-300x225.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Inflammatory-Bowel-Disease_Erythema-Nodosum_Erythema-Nodosum2-1-300x225.jpg 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Inflammatory-Bowel-Disease_Erythema-Nodosum_Erythema-Nodosum2-1-1024x768.jpg 1024w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Inflammatory-Bowel-Disease_Erythema-Nodosum_Erythema-Nodosum2-1-768x576.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Inflammatory-Bowel-Disease_Erythema-Nodosum_Erythema-Nodosum2-1.jpg 1280w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/up.physicaldiagnosispdx.com\/up\/gastroenterology_inflammatory-bowel-disease_erythema-nodosum_erythema-nodosum1-2\/'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"225\" src=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Inflammatory-Bowel-Disease_Erythema-Nodosum_Erythema-Nodosum1-1-300x225.jpg\" class=\"attachment-medium size-medium\" alt=\"\" srcset=\"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Inflammatory-Bowel-Disease_Erythema-Nodosum_Erythema-Nodosum1-1-300x225.jpg 300w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Inflammatory-Bowel-Disease_Erythema-Nodosum_Erythema-Nodosum1-1-1024x768.jpg 1024w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Inflammatory-Bowel-Disease_Erythema-Nodosum_Erythema-Nodosum1-1-768x576.jpg 768w, https:\/\/up.physicaldiagnosispdx.com\/up\/wp-content\/uploads\/Gastroenterology_Inflammatory-Bowel-Disease_Erythema-Nodosum_Erythema-Nodosum1-1.jpg 1280w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row css=&#8221;.vc_custom_1592015504575{background-color: #fff9f9 !important;}&#8221;][vc_column][vc_column_text]Characterized by red, painful nodules (histologically it is a panniculitis) most often seen on the lower extremities (shins, calves, thighs, ankles) and it generally flares when the inflammatory bowel disease flares.&nbsp;Erythema nodosum is also seen in TB, sarcoidosis, some strep infections, and as an allergic response to<\/p>\n","protected":false},"author":9,"featured_media":0,"parent":1783,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"page-templates\/page_PDXPDX-full-width.php","meta":{"nf_dc_page":"","_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"class_list":["post-1834","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/1834","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/comments?post=1834"}],"version-history":[{"count":0,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/1834\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/pages\/1783"}],"wp:attachment":[{"href":"https:\/\/up.physicaldiagnosispdx.com\/up\/wp-json\/wp\/v2\/media?parent=1834"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}