Erythema nodosum - a disease in which there is inflammation of the subcutaneous fat and blood vessels of the skin. It is very
common, especially erythema nodosum often occurs during pregnancy.
The symptoms of erythema nodosum
The symptom is the appearance of erythema nodosum nodules with a diameter of 1 to 3 cm. They often occur on the legs, but can also appear in the area of the thighs, buttocks and arms. Generally, occurrence of nodules is symmetrical on both extremities. Nodules are shiny, thin and hot surfaces are slightly above the surface of the skin and painful at the time of pressing.
Harbingers of the onset of rash in the erythema nodosum are dray sensation in the joints, the state of general malaise and fever, similar to the status of the flu.
Causes of erythema nodosum
The causes of erythema nodosum are many and they are quite different. The most common believe tuberculosis, streptococcal infection and sarcoidosis. Other major causes of erythema nodosum:
- The disease is "cat scratch";
- Hodgkin's disease;
- Regional enteritis;
- Ulcerative colitis;
- Inflammatory bowel disease;
- Behcet's syndrome.
Erythema nodosum may arise from the use of salicylates, iodides, bromides, sulfonamides, antibiotics and other medicines, especially from the use of contraception and contraceptives. It is also subject to those people who have varicose veins and thrombophlebitis. These factors explain why erythema nodosum are highly susceptible pregnant women.
Often erythema nodosum can be an independent disease. In such cases, it is impossible to determine the cause.
The forms of the disease
There are acute and chronic erythema nodosum.
The acute form is characterized by an increase in body temperature to 39 ° C, the appearance of fever, joint pain, neck, hips and shoulders. Under the skin, there are seals that do not have clear boundaries. Bright red spots that appear at the beginning, held during the month.
Subspecies of the chronic form are allergic vasculitis and erythema Beverstedta wandering. Allergic vasculitis different small amount of nodules that are not tested and, accordingly, do not change their color. It flows for a long time, often relapse. When wandering erythema Beverstedta nodules appear and fade, and on the perimeter there are new centers that do not change their color.
Treatment of erythema nodosum
In order to determine the cause and prescribe treatment of erythema nodosum, you need to consult a dermatologist. The doctor will put a diagnosis during a visual inspection. In the primary treatment shall throat swab to detect streptococcus and feces on Yersinia is chest radiograph to rule out sarcoidosis and tuberculosis.
Rash of erythema nodosum usually treated with corticosteroids. But they are not used, if any infectious disease.
erythema nodosum treated with salicylates and a wide range of antihistamines: diazolin, suprastin, Zyrtec, tavegilom, Telfast, Claritin. Sometimes also prescribe antibiotics. Conduct self or self-use antibiotics is strictly forbidden, as it may cause allergic reactions and complications in the gastrointestinal tract.
Be sure to stay in bed. For treatment also use physiotherapy - ihtiolovye warming compresses, phonophoresis, UHF, warm compresses on the shin, diathermy. After recovering local symptoms carried immunoukreplyayuschaya therapy.
Recommended lacto-vegetarian diet. Because the diet is desirable to exclude acute, fried and fatty foods, preservatives.
Erythema nodosum during pregnancy
In the event of a pregnant woman erythema nodosum doctors immediately diagnose to identify the cause. This is very important because if the cause is a serious disease, such as tuberculosis, Behcet's disease, or disease of the gastrointestinal tract, the treatment will be much more difficult.
On the child in the womb erythema nodosum has almost no effect. It is very harmful to the mother, because it can cause heart complications. There are also cases when the disease is self-held by the end of II-III trimester.
In the absence of complications carried out local treatment: indovazin used for lubrication of the centers, chimes and small amounts of paracetamol appointed interior. Relieve inflammation aspirin in small doses, diclofenac kolyat.
During the treatment of erythema nodosum during pregnancy it is important to adhere to proper rest and sleep mode. It is also important to determine the load on the blood vessels in the lower limbs: it should be minimal, but at the same time should support vessels in tone. The doctor depending on the severity of the disease or prescribe the alternation of motor loads with rest or bed rest. It is very important to choose the right treatment, or even after delivery erythema nodosum can not pass, and take a chronic form in which the products will be constantly exacerbated in the spring and fall, as well as during adverse conditions (stress, climate change, communicable diseases) or following pregnancy.