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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Erythema Nodosum

Hi, I have had chronic erythema nodosum for 14 years since the age of 16 and have seen a dermatologist for it. He done blood tests a chest ex ray and a biopsy. All of the results came back normal apart from the biopsy. I was also diagnosed with firbromyalgia about 2 years ago and suffer with a hiatus hernia. The erythema nodosum can occur on upper and lower legs, stomach and arms. It has usually flared up a few times a year but at the moment it has been present just over a year with only three and a half weeks of them disappearing when I Was on holidays in Turkey now they are back again. My family had wondered if it could be lacking a certain vitamin so asked my GP to check my b12 which is normal also my GP thinks the flare ups might be down to a viral infection but I don t understand how that could be when they haven t gone for over a year now. Many thanks
Fri, 8 May 2020
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Internal Medicine Specialist,  's  Response
Hello,

Erythema nodosum due to many causes are:
1. Infections, such as Streptococcal
2. Pharyngitis or strep throat
3. Bacterial infections, such as Mycoplasma
4. Pneumonia or tuberculosis
5. Viral infections
6. Deep fungal infections
7. Sarcoidosis
8. Cancer
7. Antibiotics

Also due to conditions that cause chronic inflammation, such as inflammatory bowel disease (IBS), ulcerative colitis (UC), and Crohn’s disease.

Drugs like sulphonamides, salicylates, and other nonsteroidal anti-inflammatory drugs (NSAIDs). Bromides and iodides. Need to identify the medical condition that causing your problem. Elimination of the risk factor may give relief.

Usually low dose steroids or immunosuppressive medication may useful. If no improvement please consult with your dermatologist / rheumatologist they will examine and treat you accordingly.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist
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Suggest Treatment For Erythema Nodosum

Hello, Erythema nodosum due to many causes are: 1. Infections, such as Streptococcal 2. Pharyngitis or strep throat 3. Bacterial infections, such as Mycoplasma 4. Pneumonia or tuberculosis 5. Viral infections 6. Deep fungal infections 7. Sarcoidosis 8. Cancer 7. Antibiotics Also due to conditions that cause chronic inflammation, such as inflammatory bowel disease (IBS), ulcerative colitis (UC), and Crohn’s disease. Drugs like sulphonamides, salicylates, and other nonsteroidal anti-inflammatory drugs (NSAIDs). Bromides and iodides. Need to identify the medical condition that causing your problem. Elimination of the risk factor may give relief. Usually low dose steroids or immunosuppressive medication may useful. If no improvement please consult with your dermatologist / rheumatologist they will examine and treat you accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist