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Erythema Induratum of Bazin

Roger P. Holland, MD, PhD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Erythema induratum of Bazin (EIB) is a chronic, nodular eruption that usually occurs on the lower legs of otherwise heavyset women.

  • EIB is a cutaneous manifestation of tuberculin hype...

DIAGNOSIS

HISTORY

  • Patients report experiencing mildly tender recurrent nodules, typically on the legs.

  • Patients may note a chronic or relapsing course with postinflammatory hyperpigmentation at former l...

TREATMENT

GENERAL MEASURES

  • Rest

  • Compression stockings should be worn to prevent edema and increase healing of lesions.

  • Ulcerative lesions should be kept clean by washing legs or affected areas with warm ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Patients should be seen as needed for persistent or recurrent flares of erythema induratum and to address compliance and/or changes to drug ther...

REFERENCES

1
Mazurek GH, Jereb J, Lobue P, et al; for Division of Tuberculosis Elimination, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention. Guidelines for u...

ADDITIONAL READING

  • Diel R, Loddenkemper R, Nienhaus A. Evidence-based comparison of commercial interferon-gamma release assays for detecting active TB: a metaanalysis. Chest.  2010;137(4):952–968...

CODES

ICD10

A18.4 Tuberculosis of skin and subcutaneous tissue 

ICD9

017.10 Erythema nodosum with hypersensitivity reaction in tuberculosis, unspecified 

SNOMED

  • 2028007 Erythema induratum

  • 55275006 Nodular v...

CLINICAL PEARLS

  • Erythema induratum is a chronic nodular eruption of the subcutaneous tissue found in lower legs of otherwise heavyset women.

  • Seen predominantly in patients living in or from India, Hong...

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