Enfoque general del paciente con eritema nudoso
2020
Erythema nodosum is a reaction of cutaneous hypersensitivity consisting of
erythematous nodules, sensitive to palpation, which are usually found on the
pretibial region, but which can also involve thighs, upper limbs, buttocks and
face. Fever and arthralgia can be concomitant manifestations. The lesions
appear in the form of isolated plaques or become confluent, then evolve into
painful nodules over several days. Usually, it has an acute course, although
chronic, recurrent, rare presentations have been described. Microscopic
examination of the lesions shows septal panniculitis without vasculitis.
Classically, is considered the herald of an underlying systemic condition
(infectious or autoimmune) or a reactive skin phenomenon after exposure
to a toxic or drug has been considered; hence the importance of knowing
its diagnostic approach by the primary care physician.
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