Erothema Nodosum sp?

Discussion in 'Fibromyalgia Main Forum' started by angelscutoo, Jun 18, 2008.

  1. angelscutoo

    angelscutoo New Member

    Did anyone have this allergic reaction acute illness before getting Fibro? I did and we never found out what caused the illness but I looked like I had been in a car wreck after a week of this and was also hospitalized. Causes hard skin nodules to appear on arms, shins, hands, and feet. After a week & treatment with steroids they turn into a large bruise. At each site it is my understanding that your body is fighting it's own tissue. Very painful.

    Curious as I had this 25+ years ago and was told it would probably happen again in my life. Just wondering if there could be any relation to having this then getting Fibro.
  2. PVLady

    PVLady New Member

    What is erythema nodosum?

    Erythema nodosum is a type of skin inflammation that is located in a certain portion of the fatty layer of skin. Erythema nodosum (also called EN) results in reddish, painful, tender lumps most commonly located in the front of the legs below the knees. The tender lumps, or nodules, of erythema nodosum range in size from 1 to 5 centimeters. The nodular swelling is caused by a special pattern of inflammation in the fatty layer of skin.

    Erythema nodosum can be self-limited and resolve on its own in three to six weeks. Upon resolution, it may leave only a temporary bruised appearance or leave a chronic indentation in the skin where the fatty layer has been injured.

    There are several scenarios for the outcome of erythema nodosum. Typically, these areas of nodular tenderness range in size from about a dime to a quarter and they may be tender and inflamed off and on for a period of weeks.

    They usually then resolve spontaneously, each one of the little areas of inflammation shrinking down and then becoming flat rather than raised and inflamed. They leave a bruised appearance. Then, they resolve spontaneously completely. Other lesions can sometimes pop up elsewhere.

    This may occur for periods of weeks to months and then eventually goes away. However, chronic erythema nodosum that may last for years is another pattern. Chronic erythema nodosum, with intermittent recurrences, can occur with or without an underlying disease present.

    What causes erythema nodosum?

    Erythema nodosum may occur as an isolated condition or in association with other conditions. Conditions that are associated with erythema nodosum include medications (sulfa-related drugs, birth control pills, estrogens), strep throat, Cat scratch disease, fungal diseases, infectious mononucleosis, sarcoidosis, Behcet's disease, inflammatory bowel diseases (Crohn's disease and ulcerative colitis), and normal pregnancy.

    How is erythema nodosum diagnosed?

    Usually, erythema nodosum is a straightforward, simple diagnosis for a doctor to make simply by examining a patient and noting the typical firm area of raised tenderness that is red along with areas which have had lesions resolved, which might show a bruised-like appearance. It is not a difficult diagnosis for an experienced doctor. It does not typically require other investigative tests.

    Sometimes a biopsy is done for confirmation, for example, if a patient presented with an isolated, singular area and a doctor was unable to make a diagnosis based on its appearance. The biopsy of the deeper layers of tissue of skin can prove that it is erythema nodosum. Those layers would show the specific fatty layers of inflammation.

    How is erythema nodosum treated?

    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.

    Erythema Nodosum IndexFeatured: Erythema Nodosum Main Article

    Erythema nodosum is a skin inflammation that results in reddish, painful, tender lumps most commonly located in the front of the legs below the knees. Erythema nodosum can resolve on its own in 3 to 6 weeks, leaving a bruised area. Treatments include anti-inflammatory medications and cortisone by mouth or injection.

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  3. Meg1710

    Meg1710 New Member

    Yes I had Erythema Nodosum a few years ago (1991), well before all of these other symptoms emerged. Although they did tests for Lupus (SLE), TB, Sarcoidosis and RA at the time, everything was negative. It certainly was a very painful condition.

    I too have wondered whether there may be any link with Fibro/CFS, although over the years I've had other weird things also, so I just don't know anymore!

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