Abstract

STREPTOCOCCI RELATED CHRONIC RELAPSING ERYTHEMA NODOSUM: A RARE CASE REPORT AND A BRIEF REVIEW OF LITERATURE

Dr. Mahendra Wawhal and Dr. Vajed Mogal*

Abstract

We report an 19-year-old boy who presented with multiple recurrent nodular lesions over arms and painful reddish nodular lesions over both legs and thigh region of 6 months duration. He was diagnosed to have Streptococci related chronic relapsing erythema nodosum on the basis of clinical presentation and laboratory findings. All other common & numerous causes of Erythema Nodosum were ruled out. Throat swab/culture evaluation for group A streptococci was positive and streptococcal antistreptolysin-O (ASO) titers were high. Erythema Nodosum is an acute, tender, erythematous, subcutaneous nodular eruption that is typically located symmetrically on the extensor aspects of the lower extremities. Chronic or recurrent erythema nodosum is rare but may occur, incidence being two to three cases/100,000 persond per year27. Female/ male ratio of 3 to 4:1 and predominant age is 25 to 40 year.

Keywords: Erythema nodosum, Panniculus, Inflammatory bowel disease.