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Difference between revisions of "Panniculitis"
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→Erythema nodosum
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*[[ulcerative colitis|'''U'''lcerative colitis]] & [[Crohn's disease]] ~ 2% of cases. | *[[ulcerative colitis|'''U'''lcerative colitis]] & [[Crohn's disease]] ~ 2% of cases. | ||
*'''M'''alignancy ([[leukemia]], [[Hodgkin's lymphoma]]) ~ 1% of cases | *'''M'''alignancy ([[leukemia]], [[Hodgkin's lymphoma]]) ~ 1% of cases | ||
Clinical:<ref name=pmid12165214/> | |||
*Painful. | |||
*Tender. | |||
*Sudden onset. | |||
*Heal without scarring. | |||
===Gross=== | |||
*Red/brown nodules. | |||
**Classically shins<ref>{{Cite journal | last1 = Babamahmoodi | first1 = F. | last2 = Babamahmoodi | first2 = A. | last3 = Barani | first3 = H. | last4 = Delavarian | first4 = L. | title = Simultaneous occurrence of erythema nodosum in monozygotic twin sisters. | journal = Case Rep Med | volume = 2012 | issue = | pages = 109427 | month = | year = 2012 | doi = 10.1155/2012/109427 | PMID = 22719770 }}</ref> - also knees and ankles.<ref name=pmid12165214>{{Cite journal | last1 = Requena | first1 = L. | last2 = Requena | first2 = C. | title = Erythema nodosum. | journal = Dermatol Online J | volume = 8 | issue = 1 | pages = 4 | month = Jun | year = 2002 | doi = | PMID = 12165214 }}</ref> | |||
**Often bilateral.<ref name=pmid12165214/> | |||
<gallery> | |||
Image: ENlegs.JPG | EN. (WC) | |||
</gallery> | |||
===Microscopic=== | ===Microscopic=== | ||
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#No [[vasculitis]]. | #No [[vasculitis]]. | ||
#+/-Granulomas - within the septa.<ref name=uscf_en>URL: [http://missinglink.ucsf.edu/lm/DermatologyGlossary/erythema_nodosum.html http://missinglink.ucsf.edu/lm/DermatologyGlossary/erythema_nodosum.html]. Accessed on: 11 September 2011.</ref> | #+/-Granulomas - within the septa.<ref name=uscf_en>URL: [http://missinglink.ucsf.edu/lm/DermatologyGlossary/erythema_nodosum.html http://missinglink.ucsf.edu/lm/DermatologyGlossary/erythema_nodosum.html]. Accessed on: 11 September 2011.</ref> | ||
#No ulceration.<ref name=pmid12165214/> | |||
DDx: | DDx: | ||
*[[Scleroderma panniculitis]]. | *[[Scleroderma panniculitis]]. | ||
Images | ====Images==== | ||
*[http://missinglink.ucsf.edu/lm/DermatologyGlossary/img/Dermatology%20Glossary/Glossary%20Histo%20Images/Erythema_Nodosum_low_power.jpg EN - low mag. (ucsf.edu)].<ref name=uscf_en>URL: [http://missinglink.ucsf.edu/lm/DermatologyGlossary/erythema_nodosum.html http://missinglink.ucsf.edu/lm/DermatologyGlossary/erythema_nodosum.html]. Accessed on: 11 September 2011.</ref> | *[http://missinglink.ucsf.edu/lm/DermatologyGlossary/img/Dermatology%20Glossary/Glossary%20Histo%20Images/Erythema_Nodosum_low_power.jpg EN - low mag. (ucsf.edu)].<ref name=uscf_en>URL: [http://missinglink.ucsf.edu/lm/DermatologyGlossary/erythema_nodosum.html http://missinglink.ucsf.edu/lm/DermatologyGlossary/erythema_nodosum.html]. Accessed on: 11 September 2011.</ref> | ||
*[http://missinglink.ucsf.edu/lm/DermatologyGlossary/img/Dermatology%20Glossary/Glossary%20Histo%20Images/Erythema_Nodosum_high_power.jpg EN - high mag. (ucsf.edu)]. | *[http://missinglink.ucsf.edu/lm/DermatologyGlossary/img/Dermatology%20Glossary/Glossary%20Histo%20Images/Erythema_Nodosum_high_power.jpg EN - high mag. (ucsf.edu)]. | ||