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Erythema Induratum of Bazin

Roger P Holland, MD, PhD Reviewed 06/2022
 


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 posterior or lateral aspects of the legs.

  • Patients may note a chronic or relapsing course with postinflam...

TREATMENT

GENERAL MEASURES

  • Treatment of the underlying disease (e.g., standard treatment for TB) is the most specific treatment.

  • Rest

  • Compression stockings should be worn to prevent edema and increase he...

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 Pr...

ADDITIONAL READING

  • Diel  R, Loddenkemper R, Nienhaus A. Evidence-based comparison of commercial interferon-gamma release assays for detecting active TB: a metaanalysis. Ches...

CODES

ICD10

A18.4 Tuberculosis of skin and subcutaneous tissue 

SNOMED

  • 2028007 Erythema induratum

  • 55275006 Nodular vasculitis (disorder)

CLINICAL PEARLS

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

  • Seen predominantly in adult female patients living in or fro...

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