Erythema Nodosum Leprosum

Erythema Nodosum leprosum. Chief Complaints A 21 yr old female has come with Erythematous tender patches over both lower limbs for past 6 months. Patches were red initially which turned to be black after few days. Also there is associated subcutaneous edema over Malleolus. No H/O fever, cough, chest pain, sob, hemoptysis. No family history of pulmonary koch or Hansen disease. O/E Hypopigmented anaesthetic patch was seen over forehead. H/O similar patch 2 yr back over cheek for which she took treatment from outside. B/L palpable and thickened, non tender ulnar Nv at elbow, cutaneous radial Nv over styloid process, superficial fibular Nv. No weakness or paresthesias in the distribution of affected Nv. Case discussed with Dermatologist and skin biopsy and nerve biopsy has been planned.

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Erythema nodosum almost always resolves on its own, and the nodules may go away in 3 to 6 weeks without treatment. Bed rest, cool compresses, elevation of the legs, and nonsteroidal anti-inflammatory drugs may help relieve the pain caused by the nodules. Potassium iodide tablets may be given to decrease inflammation.

Psoriasis

Biopsy HP to r/0 Henson
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