Abstract
IntroductionDermatologic pathology can be both challenging and frustrating in the Family Practice setting.Case presentationWe report the case of a 38-year-old female that presented initially with a few, small red nodules on both the upper and lower extremities, which were painful to touch. This patient had an extremely vague picture, which included recent upper respiratory infection and recent travel to Europe. Erythema Nodosum was suspected and work-up initiated to determine underlying cause. ASO titer ultimately confirmed recent Streptococcal infection. Although the primary diagnosis was not made until follow-up visit, treatment was started based on understanding of common causes of Erythema Nodosum.ConclusionUsing the patient's history, a differential diagnosis knowing the common causes of EN can help direct diagnostic evaluation.
Highlights
Dermatologic pathology can be both challenging and frustrating in the Family Practice setting
Case presentation: We report the case of a 38-year-old female that presented initially with a few, small red nodules on both the upper and lower extremities, which were painful to touch
The primary diagnosis was not made until follow-up visit, treatment was started based on understanding of common causes of Erythema Nodosum
Summary
Erythema Nodosum (EN) was first described by English dermatologist Robert Willan in 1798, which was published in his work Cutaneous Diseases. Patient states that 2 weeks prior to initial visit she started with upper respiratory symptoms including sore throat, cough, congestion, and body aches. She states over the course of 2-3 days her signs and symptoms improved with over the counter medications and she went to Europe on vacation for 10 days. Upon patient follow-up, patient states she had been seen in the local emergency room 3 days prior to visit for worsening joint pain. She stated they had given her some pain medications through her IV and instructed her to follow up with her primary doctor.
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