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Erythema Nodosum

Follow-Up Recommendations

  • Bed rest, keep legs elevated
  • Elastic wraps or support stockings may be helpful if patients want to be up and around.

Patient Monitoring
Monthly follow-up or as dictated by underlying disorder

Diet

No restrictions

Patient Education

  • Lesions will resolve over a few months.
  • No scarring is anticipated.
  • Joint aches and pains may persist.
  • <20% recur

Prognosis

  • Individual lesions resolve over 3–6 weeks.
  • Total time course of 6–12 weeks, but may vary with etiologic disease, if present
  • Joint aches and pains may persist for years.
  • Lesions do not scar.
  • ≥1 recurrences in 12–14% of cases:
    • Occur over variable periods, averaging several years
  • Seen most often with sarcoid, streptococcal infection, pregnancy, and oral contraceptives

Complications

  • Vary according to underlying disease
  • None expected from lesions of erythema nodosum

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