Treatment of nodal erythema: what do patients need to know?

Jul 20, 2018

Nodal erythema is characterized by the appearance of tuberous formations

appearance of bumpy formations in the shins, thighs or arms is a fairly common form of manifestation, especially in women during gestation, characterizing this kind of pathological state as a nodal erythema.The process has an inflammatory course that can disappear on its own or go into a slow, lingering form, affecting subcutaneous fat and the adjacent vasculature of tissues.


  • erythema nodosum: causes
  • Symptoms and Diagnosis
  • erythema nodosum in children
  • Treatment
  • erythema nodosum during pregnancy

erythema nodosum: causes

Today, the immediate cause of the pathological condition to find out notIt was possible, but a number of factors contributing to the formation of nodular rash in the limb region were identified.

Contributing factors:

  • Hormonal contraceptives
  • Pregnancy and hormonal imbalance
  • individual reactions to vaccination
  • chronic affections of the vascular network end, particularly varicose veins and thrombophlebitis
  • consequence of this inflammatory or infectious process of internal systems
  • organism
  • Unexpected appearance of signs of a pathological condition

At the heart of the development of the disease, in largeof cases the diagnose infectious process, which activator is Streptococcus characterizing conditions such as streptoderma, rheumatoid arthritis, scarlet fever, otitis media, erysipelas and others.Less often can be defined tuberculosis, yersiniosis, lymphogranulomatosis and others.

More details about this disease you can learn from the video.

Nodal erythema: symptoms and diagnosis

Nodal erythema has two forms of percolation: acute and prolonged, which is determined by the characteristic symptomatology of the pathological condition.

sharp manifestation of the following signs relate to the acute form of the disease:

  • Increasing temperature
  • body mode pain in the joints, neck and limbs
  • signs of fever and general malaise
  • appearance of subcutaneous painful seals in the absence of explicit boundaries of their shape

The hue of emerging hilly formations has a scarlet color, which varies depending on the stage of the flow of the process, which takes an average of about a month and is a distinguishing featureSign of a pathological condition.

A change in the color range of tuberosity passes through all stages of the disappearance of the bruise, from bright hyperemia to a yellowish-green hue.

Their size ranges from ½ cm to 5 cm in circumference, the surface of the cover is not deformed, but stands out above the level of the skin.

Seal soreness can be observed both with their palpation, and independently, the itchy symptom is absent.A typical site for the formation of nodes is the zone of the anterior surface of the legs of the lower limbs, in most cases characterizing the symmetry of the formation of skin lesions.Less common signs of nodal erythema are observed on the one hand.

Rashes are concentrated on the subcutaneous fatty zone

The appearance of lesions is possible in any of the integument zone where there is the subcutaneous adipose zone:

  • Hips
  • Calf
  • buttocks
  • Forearm
  • Face

Chronic disease is an isolated form nodular erythema suchAs a vasculitis of an allergenic genesis, characterizing the duration of the current form and the frequent formation of exacerbations with the appearance of small numbers of nodes.Rashes have a permanent shape, not changing in size and in a color shade.

K protracted course of a pathological condition also include erythema Beversteda defining isolation formation chamber change with gradual resorption and fading staging surface with subsequent proliferation affiliated entities, with the distinguishing feature unchanged hyperemic surface hue.

To diagnose nodal erythema and to establish the cause of the development of a pathological condition is possible by laboratory examination of the following forms of biomaterial selected in acute form of the course or during a relapse of the disease.

Diagnosis methods:

  • Blood - a clinical study indicates an increase in the level of leukocytes and an increase in the rate of erythrocyte sedimentation.
  • A swab from the nasopharynx or rectum - when sowing on a nutrient medium it allows to determine the nature of the infectious agent provoking the development of pathological deviation.
  • A biopsy of the cellular structure of tuberous formations makes it possible to identify the development of a localized inflammation process that affects the subcutaneous tissue and the adjacent vasculature.

To clearly identify the cause of the pathological state is used and consultative examination procedure from professionals such as a rheumatologist, an otolaryngologist, a pulmonologist, phlebologist using the following methods of instrumental diagnostics organism:

  • Rheovasography
  • Sonography
  • Tomography
  • rinoskopii
  • Radiography

Comprehensive examination of the body with the development of an acute form of nodal erythema allows you to objectively assess the currentstatus and identify not only the nature of the process of the pathogen, but also the cause of the pathological abnormalities.

The appearance of erythema in a child is facilitated by the presence of a virus in the body

erythema nodosum in children

appearance of bumpy rash in pediatric age group often contributes to the presence of the viral nature of the pathogen, when the body shows agglutination reaction to its antigenic basis.

disease in early childhood may indicate an allergic reaction to the causative agent of tuberculosis, as well as the following infectious agents:

  • Staphylococcus
  • Streptococcus
  • Candida

In addition, the body's response in the form of erythema nodosum in childhood can beOn the effect of the following groups of drugs, which characterizes the level of pathogenic microflora in the intestine and the sensitivity of the organism characteristic of early age:

  • BarbieTurati
  • Sulfanilamides
  • Iodine
  • Antibiotics

feature of the pathology in children associated with seasonal intervals of weakening the body's immune parameters that determines the winter and autumn and spring seasons.

signs of a pathological condition characterized by its flow in the adult age group, being supplemented by the presence of symptoms of disorders of the digestive tract and the possibility of partial softening and resorption of the formation of structures.

Treatment of erythema is aimed at eliminating the causes of the disease

erythema nodosum: treatment

According to the results of diagnostic data treatment of erythema nodosum determines the complexity in the approach, aimed not only to suppress the manifestations of acute signs of inflammation, but also eliminating the immediate cause of the pathological state.

Treatment activities include the following types of activities:

  • Suppression of the development of existing chronic foci of inflammation.
  • Application of antimicrobial therapy.
  • Use of non-steroidal anti-inflammatory drugs.
  • Desensitizing treatment.
  • Taking antihistamines.
  • Regeneration of affected areas against the background of laser irradiation of blood, various methods of hemocorrection.
  • Local application, suppressing the process of inflammation, ointments and creams, allowing the presence in the preparations of the hormonal component, which contributes to the acceleration of the regenerative capacities of tissues.
  • Physiotherapeutic procedures with external absorption of the affected body skin of drugs, as well as magnetotherapy, laser therapy, spectral irradiation of the surface with ultraviolet rays.

Treatment of a pathological condition is determined separately, depending on the course of the process, its stage and form, and also the individuality of the organism and the tolerability of certain types and dosages of the medications used.

Earlier in the diagnosis of erythema, pregnancy was interrupted

Nodal erythema in pregnancy

The appearance of signs of the disease in the period of gestation is long perceived as a threat to the full development of the embryo.

For this reason, methods of artificial abortion were used, preventing the birth of the fetus with possible congenital malformations in development.

Currently, having extensive modern diagnostic capabilities, the type of infectious agent that provokes the inflammation process is first established, identifying the cause of the disease.

The acute form of the pathological condition has a stronger toxic effect on the female body than on the embryo, provoking the development of complications from the vasculature and the heart of the mother.

As the state of pregnancy limits the possibility of general medicamentous effects on the body, the treatment of nodal erythema mainly involves the local use of drugs aimed at suppressing signs of inflammation, pain and facilitating faster recovery of damaged integument.

In the acute stage, it is recommended to have a bed rest with restriction of any psychoemotional worries.

The pathological condition can have such types of outcomes as favorable - with complete self-resolution of tuberous formations or go into a slow-lingering, protracted form, with possible development, subsequently, relapses.

The appearance of signs of the disease can be prevented by applying timely therapeutic measures aimed at suppressing existing chronic foci of inflammation, which reduces the risk of severe consequences in the form of the detection of signs of nodal erythema.

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