Erythema Nodosum
Erythema nodosum literally means "red bumps." These tender red nodules, which usually appear over the shins or ankles and sometimes on the arms, occur most in people with ulcerative colitis (2-4 percent), although they may also affect those with Crohn's disease of the colon (1-2 percent). Women are more commonly affected than men. Erythema nodosum generally appears in conjunction with a flare-up of IBD, but it may also occur just before a flare-up. It tends to improve when the bowel disease is brought under control.
Erythema nodosum is most common on the shins, but it may also occur on other areas of the body (buttocks, calves, ankles, thighs and upper extremities). The lesions begin as flat, but 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 patch. Systemic findings may include fever and malaise.
IMAGES OF ERYTHEMA NODOSUM
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