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CES Medicina

Print version ISSN 0120-8705

Abstract

GONZALEZ ALVAREZ, TATIANA  and  CARDONA CASTRO, NORA. Eritema nodoso y su asociación con infecciones micóticas. CES Med. [online]. 2010, vol.24, n.2, pp.47-51. ISSN 0120-8705.

Erythema nodosum (EN) is the panniculitis that most frequently affects subcutaneous fat. Most cases are idiopathic but infections, sarcoidosis, pregnancy and certain medications are other important causes. Among infections, streptococcus is most frequent; mycotic and viral infections, parasitic and other bacterias, correspond to less than 1% of the causes. The reports of mycotic infections associated to rheumatologic symptoms are few, but to date, the most common is EN. The majority of these cases correspond to dermatophytic infections, among which the most relevant is Trichophyton mentagrophytes, most commonly causing Kerion of Celsi. EN has also been seen in association with invasive mycotic infections like aspergillosis, hystoplasmosis, coccidiodomycosis and sporotrichosis. Treatment of EN has two objectives: treating the underlying disease and symptomatic control of skin lesions and associated symptoms. It is clear that skin lesions are self limited and nodules heal spontaneously without leaving scar or atrophy

Keywords : Erythema nodosum; Mycosis; Panniculitis.

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