Introduction & Objectives
A Mysterious Rash in a Patient with Interstitial Lung Disease
Objectives
Case Presentation
Initial Presentation
Erythema Nodosum
Other Causes of Erythema Nodosum
Tests in Primary Care
Treatment of Erythema Nodosum
Tests in Secondary Care
Chest Radiograph
CXR Findings
What Stage of Disease Does She Have?
Differential Diagnoses of BHL
CT Scan
PET (Positron Emission Tomography)
Bronchoscopy
Sampling Lymph Nodes
EBUS (Endobronchial Ultrasound)
Histology
Treatment - Stage 1 Disease
Treatment - Who Should Get Steroids?
Treatment - Other Treatments?
Outcome
Resources & Feedback
References
Feedback
A Mysterious Rash in a Patient with Interstitial Lung Disease
Other Causes of Erythema Nodosum
Idiopathic (30-50% cases)
Infections
Bacterial e.g. Streptococcal, tuberculosis, leprosy
Viral e.g. Epstein Barr
Fungal e.g. Histoplasma
Autoimmune
Sarcoidosis, Inflammatory bowel diseases, Behcet's
Cancers
Lymphoma, pancreatic cancer, carcinoid
Pregnancy
Medication
Sulphonamides, penicillins, oral contraceptive