Tender, deep lesions are typically found on the legs in patients with erythema nodosum. In erythema nodosum, the areas of skin involved are often red and warm to touch. This image displays multiple red lesions on a leg, typical of erythema nodosum. This image displays the red, elevated areas of the skin on the lower legs, typical of erythema nodosum. This image displays a deep red inflammation typical of erythema nodosum. Erythema nodosum lesions are raised and tender when they begin (early lesions can be seen on the top part of this picture), but older lesions (seen on bottom part of the picture) flatten as they resolve. This image displays red, warm, tender lesions typical of erythema nodosum. This image displays multiple areas of erythema nodosum. This image displays the typical presentation of erythema nodosum on the legs with scattered, red, slightly elevated lesions.
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Picture of Erythema Nodosum: Tender, deep lesions are typically found on the legs in patients with erythema nodosum. Divider line
Tender, deep lesions are typically found on the legs in patients with erythema nodosum.
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Who's At Risk
Erythema nodosum can develop in persons of any age, sex, and ethnicity. Young adults are particularly susceptible to developing erythema nodosum. Moreover, women are 4 times more likely than men to be affected.

Approximately 30–50% of cases of erythema nodosum have no underlying cause. However, an associated medication, infection, or health condition may be found in the remainder of cases.

Erythema nodosum may develop in people on these medications:
  • Birth control pills
  • Estrogen pills
  • Antibiotics (such as sulfonamides or penicillin)
Erythema nodosum may occur in persons with one of the following infections:
  • Streptococcal infections (such as strep throat)
  • Intestinal infections
  • Tuberculosis
  • Pneumonia (viral or bacterial)
  • Fungal infections (such as coccidioidomycosis or histoplasmosis)
Erythema nodosum may be seen in individuals with one of these underlying medical conditions:
  • Pregnancy
  • Inflammatory bowel disease (ulcerative colitis or Crohn's disease)
  • Sarcoidosis
  • Lymphoma or leukemia
Last Modified: 1 Feb 2008
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