Erythema nodosum is most common on the shins, but it may also occur on other areas of the body (buttocks, calves, ankles, thighs, and arms).
The lesions begin as flat, firm, hot, red, painful lumps approximately an inch across. Within a few days they may become purplish, then over several weeks fade to a brownish, flat
Other symptoms may include:
- Fever
- General ill feeling (malaise)
Joint aches -
Skin redness , inflammation, or irritation - Swelling of the leg or other affected area
The red and inflamed skin symptoms may regress to a bruise-like appearance.
Signs and tests
The diagnosis is primarily based on the appearance of the skin nodules.
Throat culture may be done to reule out a strep infection.
Chest x-ray may be done to rule out sarcoidosis or tuberculosis.
Previous Section
Review Date: 10/12/2009
Reviewed By: Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease,
Atlanta, GA. Review provided by VeriMed Healthcare. Also reviewed
by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)
