Thursday, May 7, 2009

Erythema nodosum?

Does anyone know if there's a treatment for this? It seems to be recurring for 3 years but seven dermatologists have no idea what caused it, how to cure it, or even how to get rid of the unsightly bruises the condition leaves.

Erythema nodosum?
Erythema nodosum is initially managed by identifying and treating any underlying condition present. Simultaneously, treatment is directed toward the inflamed skin from the erythema nodosum.





Treatments for erythema nodosum include antiinflammatory drugs, and cortisone by mouth or injection. Colchicine is sometime used effectively to reduce inflammation. Treatment must be customized for the particular patient and conditions present. It is important to note that erythema nodosum, while annoying and often painful, does not threaten internal organs and the long-term outlook is generally very good.





The most effective treatment is to remove the cause. Sometimes no cause is found, and complete resolution takes four to six weeks. Non-steroidal anti-inflammatory (NSAID's-ibuprofen, Alleve and others) and bed rest may be used to reduce the pain and swelling. Injections may also be used for large and painful nodules. Oral potassium iodide works great but is unpleasant to take and must be dosed correctly. Other treatments are available in severe cases.
Reply:Treatment should focus on the underlying cause. Symptoms can be treated with bedrest, leg elevation, compressive bandages, wet dressings, and nonsteroidal anti-inflammatory agents (NSAIDs) (Wolff et al, 2005). NSAIDS are usually more effective at the onset of EN versus with chronic disease.





Potassium iodide can be used for persistent lesions whose cause remains unknown. Corticosteroids and colchicine can be used in severe refractory cases (Wallace, 1967; Yurdakul et al, 2001; Mat et al, 2005)


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