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Tunisie Medicale [La]. 2007; 85 (12): 1020-1024
in French | IMEMR | ID: emr-180203

ABSTRACT

Background: Erythema nodosum [EN] is the most frequent acute nodular hypodermatitis. Etiologies of EN are varied although a similar clinical presentation


The aim of our study is to establish epidemio-clinical characteristics of EN in 103 patients


Methods: [62 in care [January 1980-december 2005] were seen on the dermatology unit of the Rabta hospital. We have only included patients that had done: blood count, chest X-Ray, ASLO, tuberculin intradermoreaction, transaminase, inflammation marker


Results: We had 86 women and 17 men with a mean age of 36,5 years. Lesions were located in lower limbs in 88 cases. The man etiologies were: post streptococcal infections [42 cases], tuberculosis [8 cases], Crohn disease [8 cases], Behcet disease [7 cases] and sarcoidosis [5 cases]. EN was idiopathic in 23 patients. The most common provoking agent of EN varies from a country to another and even in the same country from a study to another. In Tunisia, post streptococcal infection and Behcet disease still frequent etiologies for EN, sarcoidosis and inflammatory colites are more and more found unlike tuberculosis which is less incriminated than before. In case of EN it is reasonable to begin etiological enquiry by common causes


Subject(s)
Adult , Adolescent , Aged , Female , Humans , Male , Middle Aged , Streptococcal Infections/complications , Behcet Syndrome/complications , Sarcoidosis/complications , Enterocolitis/complications , Hospitals, Teaching
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