Nodulum erythema - Causes, symptoms and treatment. MF.

Kneehead erythema is a disease characterized by inflammation of the vessels of the skin and subcutaneous fat. Most often occurs in women( three times as many as men), between the ages of 15 and 30.The causes of this pathology are very diverse and not compatible with each other.

Causes of erythema nodosum

These are various infectious causes: streptococcal infections( angina, scarlet fever), tuberculosis, iersiniosis, venereal lymphogranuloma, leprosy, histoplasmosis, coccidioidosis. In a word, all that we call "chronic foci of infection."

Non-infectious: sarcoidosis( quite common cause of erythema), ulcerative colitis.

It should also be noted and the allergic nature of erythema, which often occurs on the intake of sulfanilamide preparations( sulfalene, sulfodimethoxin), contraceptives.

Symptoms of erythema nodosum

Distinguish acute form of the disease and chronic. The acute form is characterized by worsening of the general condition, fever, appearance on the shins, knees, less often the face, neck of the cat, painful on palpation, having a red color, changing to violet, then brown and yellowish. In a half of cases, inflammation of the joints is observed. The heavier erythema nodosum occurs in children. The process is resolved on its own in 6-7 weeks.

Symptoms of erythema nodosum on the skin

In chronic course, this condition does not last long, the nodes tend to merge or appear in new places after permission for the old, that is, migrate.

Diagnostics of erythema nodosum

To determine the cause and treatment, it is necessary to consult a dermatologist, rheumatologist, therapist or your doctor if the cause is known( TB tuberculosis, sarcoidosis - pulmonologist, etc.).

Not only do you yourself make the right diagnosis and not be confused with erythema, for example, with skin tuberculosis, so it is necessary to understand the reasons that are very serious. To this disease the approval of old clinicians is primitive: "Skin is a barometer of the internal environment of the organism".

The diagnosis of nodal erythema is set at visual inspection. At the first treatment it is advisable to take a swab from the oropharynx to streptococcus and make a radiograph of the lungs to exclude sarcoidosis and tuberculosis, as well as pass the feces to Yersinia.

Treatment of erythema nodosum

Treatment is given depending on the causes. I would advise the patient to go to the hospital and go through the examination "from head to toe."In most cases, this condition is unlikely to allow you to fully perform the work, not even associated with physical labor. So the hospital sheet is still necessary.

For the treatment of erythema nodosum, the following groups of drugs are used: non-steroidal anti-inflammatory drugs( nimesil, indomethacin), hormones( prednisolone), which do not follow in infectious processes, and when allergic is just the way, potassium iodide inside( if there are no contraindications), antibioticsat an infectious process. Local treatment( heparin ointment).

Folk remedies are used together with the basic treatment. Some cereals, herbs are added to the diet: green beans, beans, basil, dill, cumin. When edema is used diuretics.

But it must be remembered that they will not detect and cure the root cause, they are only a "thread", for the successful resolution of the process and the alleviation of the condition.

Before the disappearance of the acute stage of the disease must comply with the semi-postal regime. The diet is milky and vegetable. After the transferred erythema nodosum should be eliminated physical activity for at least 1 month.

Summarizing, we can say that the treatment of erythema is an art that is subject only to physicians specialists, and even then not all.

Complications of erythema nodosum

The danger of acute erythema nodosum is the transition to chronic infection. Therefore, the most courageous gentlemen would like to be saved from calmness, that everything will decide by itself in 6 to 7 weeks, about which I spoke above and about which so much is written in the educational literature. To be treated it is necessary.

And, of course, no one has canceled those weight complications, which lead to all those serious diseases about which the skin signals the appearance of erythema nodosum.

Doctor's consultation on erythema nodosum:

Question: I recently undergone nodosum erythema, lay for 2 weeks in the hospital, completely examined, the reasons were not found. Does this mean that I was badly examined? There were no more retsedivov.
Answer: No. Still, in some cases, the cause is not revealed, but if, God forbid, there will be repeated retsedivy, I recommend that you undergo a second examination.

Question: Please advise which department it is better to undergo the examination?
Answer: If there is no cause, then start with a therapeutic or dermatological. There, if necessary, you will be consulted by the necessary specialist. Now there are such services as "examination for 3 - 5 days".

Question: So what is the main prevention of erythema nodosum?
Answer: Sanitation of chronic foci and chronic diseases, a healthy lifestyle, hardening.

Doctor dermatologist Mansurov A.S.