Erythema Nodosum

[hpyrch]

I have MCTD and have been dealing with erythema nodosum for three years off and on now. I have noticed It always comes back in the hot and cold weather. I am courious if any one else has this problem and does it affect them in the same way?

[Adminஐﻬ]

Hello and welcome! I'm so glad you have posted!
I'm sorry to hear you are having some problems with your health right now. I personally do not have this problem.
Here is more detailed information on it, perhaps it can help answer a question you may have:

 
Erythema nodosum is an inflammatory disorder that is characterized by tender, red nodules under the skin.

Causes, incidence, and risk factors   

The exact cause of erythema nodosum is unknown. Some cases may be associated with the following:

Infections:
Streptococcus
Coccidioidomycosis
Tuberculosis
Hepatitis B
Syphilis
Cat scratch disease
Tularemia
Yersinia
Leptospirosis
Psittacosis
Histoplasmosis
Mononucleosis (EBV)
Sensitivity to certain medications:
Oral contraceptives
Penicillin
Sulfonamides
Sulfones
Barbiturates
Hydantoin
Phenacetin
Salicylates
Iodides
Progestin
Other associated disorders include leukemia, sarcoidosis, rheumatic fever, and ulcerative colitis.

Erythema nodosum is most common on the shins, but it may also occur on other areas of the body (buttocks, calves, ankles, thighs and upper extremities). The lesions begin as flat, firm, hot, red, painful lumps approximately an inch across. Within a few days they may become purplish, then over several weeks fade to a brownish, flat patch. Systemic (whole body) findings may include fever and malaise.

The condition is more common in women than men.

Symptoms   

The characteristic tender, red nodules of erythema nodosum usually appear on the shins:

One or more nodules
Painful, reddened
Located on the anterior surface of the lower leg
Occasionally located on the arms or trunk
May feel warm to touch
Not ulcerated
Accompanying symptoms include the following:

Fever
General ill feeling (malaise)
Joint aches
Skin redness, inflammation, or irritation
Swelling of the leg or other affected area
The red and inflamed skin symptoms may regress to a bruise-like appearance.
Signs and tests   

The diagnosis is primarily based on the appearance of the skin nodules. Biopsy of a nodule may show characteristic changes (septal panniculitis).

Treatment   

The underlying infection, drug, or disease should be identified and treated. Nonsteroidal anti-inflammatory medications (NSAIDs) may reduce symptoms. An oral potassium iodide (SSKI) solution may produce prompt resolution of the nodules.

Corticosteroids or salicylate medications may be needed to reduce acute inflammation. Analgesics and limitation of activity may be needed to control varying amounts of pain.

Topical therapy is not generally needed, although hot or cold compresses may reduce discomfort.

Expectations (prognosis)   

Erythema nodosum is uncomfortable, but it is usually not dangerous. Symptoms typically disappear within about 6 weeks, but may recur.

Calling your health care provider   

Call for an appointment with your health care provider if you develop symptoms of erythema nodosum.
Keep us posted on how you are doing and don't be a stranger! 
Kathy

[sunnipearl]

  I am also glad you have posted...I pray for you that things get a little better for you.... MTCD is so hard on all of us.. I will say prayers for you so you will have some peace and rest..Please take care and please post more often we all are here for you...
                                                           Gail