A 25 year old male had arthritis in right ankle and multiple erythematous nodules on the shin. He had fever and malaise for 2 weeks. What is the likely diagnosis? (LQ)
|C||Weber Christian disease|
|D|| Urticarial vasculitis
1). Clinical. It classically affects the shins
1). Most panniculitis lesions present as one or several deeply situated tender nodules.
2). Inflammation is prominent in some causes, such as erythema nodosum.
3). Lesions are typically on the lower legs or over fatty areas in the most common variants.
4). A particular variant that can often be suspected clinically is lupus panniculitis (lupus erythematosus profundus, this typically affects the upper trunk or upper arms in young women, who usually have other features of lupus erythematosus.
5). Panniculitis due to cold injury is also often clinically distinctive, occurring over lateral thighs or upper arms and with markedly cold lesions.