Nodule erythema - causes, symptoms, diagnosis, treatment
- 03 Jul 09:15
- Disease Of The Skin
The erythema nodosum ( the second name of the disease is nososnaya erythema) is a syndrome characterized by inflammatory process of subcutaneous tissue. Nodular erythema is a polyethylic( caused by various causes) form of deep vasculitis.
At the same time, nosodic erythemais considered as an independent form of panniculitis, characterized by the appearance of purple-red subcutaneous nodes, well defined by palpation.
When nodular erythema, rashes appear more often on the shin, and rarer - in other areas of the skin. Very often, nodular erythema develops against the backdrop of systemic disease - tuberculosis, sarcoidosis, infectious diseases caused by streptococcus( scarlet fever, impetigo, ectima, acute paronychia, etc.).
erythema nodules are found in patients of any age, but most often, this diagnosis is put to people aged 20 to 30 years. In children and adolescents, nodosa erythema with the same frequency are both girls and boys. But after puberty, the disease is diagnosed in women about 5 times more often than in men.
- 1 Causes of the disease
- 2 Clinical picture of
- 3 Methods of diagnosis
- 4 Treatment scheme of
- 5 Treatment of folk methods
- 6 Prevention and prognosis of
- 7 Photo
disease The erythema nodosa has an allergic nature, and the main causes that increasethe sensitivity of the organism, there are infections, primarily streptococcus and tuberculosis. Rarely, such a reaction is caused by diseases of the lymphogranulomatosis, coccidiosis, trichophytosis.
Sometimes nodular erythema is caused by drug sensitization. Often, the cause of the allergic reaction are antibiotics, bromides, iodides, salicylates, sulfanilamides.
Rarely the development of bruised erythema is caused by non-infectious diseases - ulcerative colitis, Bechterev's disease. Often, the propensity to disease with nodular erythema is observed among blood relatives, that is, high sensitivity to infectious agents and medicines is inherited.
The risk group for the development of nodal erythema are those with various vascular diseases and vascular pathologies. For example, varicose veins.
A typical symptom of nodose erythema - the appearance of dense subcutaneous nodes. The size of the knots can be different, as a rule, the diameter of the formations varies within 5-50 mm. The skin over the knot is smooth, without signs of peeling, red.
Erythematous nodes rise above the surface of healthy skin, however, their borders are not clearly expressed, since the surrounding tissues are swollen. Nodes with nodosa erythema grow rapidly at the initial stage of the disease, then the growth ceases.
Pain syndrome with nodular erythema may be of varying intensity. Some patients notice pain only when they are pushed to the node, while others are constantly present. Itching in patients is not noted.
Allocation of nodes starts at 3-5 days, it is manifested by their seals. The skin over the knot changes the color, gaining a shade, characteristic for the decay of the bruises. That is, at first the red skin first acquires a brown hue, then consistently becomes cyanotic, green and yellow.
Typical localization of nodes with nodosa erythema - the anterior surfaces of the legs, the rash is usually symmetric. However, rashes may be isolated and located on other parts of the body.
Most often, nodular erythema begins acutely. In patients there are common symptoms - weakness, chills. Sometimes patients complain of joint pain. Joint syndrome and general symptoms appear a few days before nodes appear.
Nodes with nodosa erythema are allowed approximately 3 weeks after education. In their place, sometimes there are stains of hyperpigmentation, and there is peeling. Simultaneously with the resolution of the nodes and pain in the joints.
In some cases, nodular erythema becomes chronic, periodically recurring.
Diagnosis of nodose erythema is based on the study of clinical signs. It is very important to send the patient to the survey, which will help determine the cause that provoked the disease. As a rule, biopsy of nodes, clinical blood tests, X-ray studies, osteoarthritis, skin tests are prescribed.
It is important to differentiate erythema nodules from nodulous vasculitis, migrating thrombophlebitis, skin tuberculosis, skin tumors.
Treatment Scheme for
The success of treatment of nosesic erythema depends on the effectiveness of the treatment of the disease that led to its development.
Patients with nosesic erythema are assigned a bed rest, while the diseased limb should be added to the prescribed position. It is recommended to use non-steroidal anti-inflammatory agents to relieve pain and eliminate inflammation.
Systemic glucocorticosteroids are very effective, however, they should be prescribed with extreme caution, as they can negatively affect the course of the underlying disease.
In the event that the underlying disease has an infectious nature, intensive antibiotics are administered. For general healing, they are prescribed vitamins, angioprotectors.
Local treatment with this disease is to use methods of physical therapy - UF, UHF.Apply compresses using ichthyol ointment.
Patients are recommended to adhere to the hypoallergenic diet during their treatment, abstaining from greasy, smoked and roasted dishes.
Treatment by folk methods
Since nodosa erythema is often accompanied by a decrease in immunity, it is recommended to use herbal treatment recipes aimed at general strengthening of the protective forces.
Prophylaxis and prognosis
Prophylaxis of nodal erythema is the timely treatment of infectious and other diseases that can provoke inflammation.
It is recommended to send forces to strengthen immunity, especially during the off-season, when there are epidemics of viral diseases.
Patients who have transferred the erythema nodos to prevent recurrence are advised to avoid excessive sunburn and refuse to visit the solarium. No less harmful and overcooling.
Forecast for recovery at nodular erythema is favorable. In order to prevent recurrence, the main illness should be actively treated and immunity strengthened.