A Study on Etiopathology and predictors of Erythema Nodosum in a Tertiary care hospital of West Bengal
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 10
Abstract
Aim: To study the etiology of Erythema nodosum (EN) and co-morbidities associated with it among a subset of Indian patients, clinical variation between idiopathic and secondary EN and also to assess the factors predictive for the development of EN. Method: A cross sectional study was done on thirty patients with EN diagnosed on clinical basis. Patients were subjected to clinical examination, laboratory & radiological investigations including histopathology. Etiology of EN & associated co-morbidities were evaluated. Also the clinical variation between idiopathic and secondary EN was assessed. Result: The frequency of unknown cause(Idiopathic EN) in our study was56.7%.The etiology could be determined in 43.3% of cases:- Streptococcal infection (23.1%), Tuberculosi s(15.4%), Drugs (15.4%), Pregnancy (15.4%), Behcet’s disease (15.4%), Sarcoidosis (7.7%), Inflammatory bowel disease (7.7%). 83.3% of the total patients were female & the mean age was 28.18 years in the idiopathic EN and 27.23 years in secondary EN. Hypothyroidism was significantly associated with idiopathic EN. We found significant differences between the idiopathic & secondary causes regarding history of fever within last 6 weeks, arthritis, cough, chest X ray abnormalities & ASO titre. Conclusions: Etiological diagnosis was possible in 43.3% of cases. Most common cause was Streptococcal infection. Most of the cases were female. Idiopathic EN was significantly associated with hypothyroidism. Features like history of fever within last 6 weeks, arthritis, cough, chest X ray abnormalities &ASO titre were predictors of secondary EN. We compared our study results with other studies & emphasize the need of a detailed workup for all patients of EN because it’s harbinger of common and treatable conditions.
Authors and Affiliations
Dr Atanu Chandra
Keywords
Related Articles
- EP ID EP489941
- DOI -
- Views 60
- Downloads 0
Histopathological Study of Skin Biopsies from Clinically Diagnosed Leprosy Patients – 1 yr Institutional Study
Leprosy is caused by M. leprae and predominantly affects the skin and peripheral nerves. The disease is endemic in many tropical and subtropical countries Materials and Methods: 38 skin biopsies from patients clinically...
Ultrasound Guided Fine Needle Aspiration Cytology for Diagnosis of Abdominal Lumps
Background: Considering Indian setup of medical facilities, FNAC has proven itself as a boon for Indian Medical Personnel. Ultrasound guided FNAC of intra-abdominal masses is widely accepted as safe and effective method...
A Murmur with Pectus Excavatum May Not Be Ominous
Background: Straight Back Syndrome (SBS) is the absence of normal dorsal curvature in the thoracic part of the spine, resulting in reduced AP diameter of the chest causing compression of the heart and great vessels. Case...
Using Maggot Therapy in Treatment of Wounds: A Review of Its Effectiveness and Patients’ Experiences
Wound treatment is one of the major areas in medical and nursing practice that has attracted attention of health professionals because of the rising incidence of chronic wounds coupled with their numerous associated soci...
Elderly Patient with Scoliosis and Multiple Vulvular Disorders Posted For Orthopaedic Surgery- A Pivotal Role of Continuous Spinal Analgesia
Introduction- The use of CSA (using epidural catheter as spinal catheter) has a number of perks to offer. The dose of the drug can be tailored to patient’s need and duration of procedure, with no limitation of drug dose...