{"id":8002,"date":"2020-04-26T18:27:23","date_gmt":"2020-04-26T21:27:23","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/patologia-del-eritema-nudoso\/"},"modified":"2020-04-30T21:33:54","modified_gmt":"2020-05-01T00:33:54","slug":"pathology-of-erythema-nodosum","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-del-eritema-nudoso\/","title":{"rendered":"Pathology of erythema nodosum"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-del-eritema-nudoso\/#Histologia-del-eritema-nudoso\" >Histology of erythema nodosum<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-del-eritema-nudoso\/#Patologia-del-eritema-nudoso\" >Pathology of erythema nodosum<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-del-eritema-nudoso\/#Estudios-especiales-para-eritema-nudoso\" >Special studies for erythema nodosum<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-del-eritema-nudoso\/#Diagnostico-diferencial-del-eritema-nudoso\" >Differential diagnosis of erythema nodosum<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<p><span class=\"term\" data-term-id=\"90\">Erythema<\/span> the nodose is the most common form of <span class=\"term\" data-term-id=\"213\">panniculitis<\/span>. Typically presented as tender, <span class=\"term\" data-term-id=\"967\">erythematous<\/span>, <span class=\"term\" data-term-id=\"900\">subcutaneous<\/span> <span class=\"term\" data-term-id=\"367\">nodules<\/span> and <span class=\"term\" data-term-id=\"368\">plates<\/span>, which arises in crops most commonly in the <span class=\"term\" data-term-id=\"1396\">pretibial<\/span> areas bilaterally.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Histologia-del-eritema-nudoso\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histology<\/span> of erythema nodosum<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Erythema nodosum <span class=\"term\" data-term-id=\"1669\">histologically<\/span> it represents the prototype of a septal panniculitis. The classic histopathological presentation of erythema nodosum is that of septal panniculitis with a mixture <span class=\"term\" data-term-id=\"956\">cellular<\/span> <span class=\"term\" data-term-id=\"541\">infiltrate<\/span> of <span class=\"term\" data-term-id=\"421\">lymphocytes<\/span>, <span class=\"term\" data-term-id=\"858\">histiocytes<\/span>, <span class=\"term\" data-term-id=\"739\">giant cells<\/span>and occasionally <span class=\"term\" data-term-id=\"448\">eosinophils<\/span> and a characteristic absence of <span class=\"term\" data-term-id=\"1091\">vasculitis<\/span> (Figures 1-3).<\/p>\n<p>Miescher radial granulomas consisting of small nodules composed of spindle to oval-shaped histiocytes arranged around minute grooves are thought to be a relatively specific finding for erythema nodosum (Figure 4).<\/p>\n<p>Early lesions can be difficult to diagnose based on histopathologic features alone. Sections can display <span class=\"term\" data-term-id=\"1225\">edematous<\/span> septa containing a prominent mixed <span class=\"term\" data-term-id=\"490\">inflammatory<\/span> infiltrate and minimal <span class=\"term\" data-term-id=\"102\">fibrosis<\/span>. As the lesions progress, there is <span class=\"term\" data-term-id=\"443\">neutrophilic<\/span> <span class=\"term\" data-term-id=\"543\">infiltration<\/span> followed by <span class=\"term\" data-term-id=\"319\">chronic<\/span> <span class=\"term\" data-term-id=\"542\">infiltrators<\/span>, <span class=\"term\" data-term-id=\"1718\">granulomas<\/span> and septal fibrosis.<\/p>\n<p>Small-vessel vasculitis (or venulitis) may be seen in early lesions.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Patologia-del-eritema-nudoso\"><\/span>Pathology of erythema nodosum<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='in-fig-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2629128-8333659' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/en-fig-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2629128.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='in-fig-2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7601047-8835220' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/en-fig-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7601047.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='in-fig-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1509872-8364677' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/en-fig-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1509872.jpg'>\n<\/div>\n<p class=\"p-small\">figure 3<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='in-fig-4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3578130-9742329' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/en-fig-4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3578130.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 4<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Estudios-especiales-para-eritema-nudoso\"><\/span>Special studies for erythema nodosum<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Generally none is needed. Heavy neutrophilic infiltrates can cause staining for <span class=\"term\" data-term-id=\"1702\">microorganisms<\/span>.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Diagnostico-diferencial-del-eritema-nudoso\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Differential diagnosis<\/span> of erythema nodosum<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Early lesions may resemble those of neutrophils. <span class=\"term\" data-term-id=\"329\">skin disease<\/span>.<\/p>\n<p>Late lesions may resemble other causes of <span class=\"term\" data-term-id=\"260\">sclerosis<\/span> of the <span class=\"term\" data-term-id=\"1282\">subcutis<\/span>, including fat resolution <span class=\"term\" data-term-id=\"403\">necrosis<\/span>, <span class=\"term\" data-term-id=\"53\">dermatitis<\/span> artefacta and lipodermatosclerosis.<\/p>\n<p>Miescher&#039;s radial granulomas have also been described in erythema induratus, <span class=\"term\" data-term-id=\"194\">necrobiosis<\/span> lipoid, sweet <span class=\"term\" data-term-id=\"350\">syndrome<\/span> and Behcet&#039;s disease.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Eritema el nodoso es la forma m\u00e1s com\u00fan de paniculitis. T\u00edpicamente se presenta como tierno, eritematoso, subcut\u00e1neo n\u00f3dulos y placas, que surge en los cultivos m\u00e1s com\u00fanmente en el pretibial&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[205],"class_list":["post-8002","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8002","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=8002"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8002\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=8002"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=8002"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=8002"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}