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Erythema induratum

A rare type of panniculitis affecting primarily adolescents and menopausal females.

A bilateral nodular panniculitis.

Lesions are generally less red and tender compared to those of erythema nodosum.

Felt to be a vasculitis affecting deep blood vessels of the sub cutis, with subsequent necrosis and inflammation of the associated fat tissues.

Presents as a tender erythematosus nodule that eventually ulcerates.

Most commonly unassociated with an underlying disease.

With suspicion of erythema induratum patients should have skin test for PPD.

50-70% of cases are related to Mycobacterium tuberculosis.

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