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Erythema nodosum migrans in a male patient with hepatitis B infection

E Lazaridou1, Z Apalla, A Patsatsi

  • 1First Department of Dermatology-Venereology, Aristotle University Medical School, Thessaloniki, Greece. bethlaz@med.auth.gr

Clinical and Experimental Dermatology
|December 2, 2008
PubMed

Insights

Erythema nodosum migrans (ENM), a skin condition, can occur in men and may be linked to Hepatitis B infection. Treatment with potassium iodide showed positive results in this case.

Area of Science:

  • Dermatology
  • Infectious Diseases

Background:

  • Erythema nodosum migrans (ENM) is debated as a variant of chronic erythema nodosum or a distinct entity.
  • Typically affects women aged 30-60; often idiopathic but can link to streptococcal infection or thyroid disease.

Observation:

  • A 33-year-old male presented with painful, infiltrated leg nodules characteristic of ENM.
  • Lesions spread centrifugally with central clearing, forming annular plaques.
  • The patient had concurrent Hepatitis B infection treated with antivirals.

Findings:

  • The case presented an unusual occurrence of ENM in a male patient.
  • Potassium iodide treatment yielded an excellent response.
  • A potential association between ENM and Hepatitis B infection was noted.

Implications:

  • This case expands the known demographic of ENM, including males.
  • Suggests a possible link between viral hepatitis and ENM development.
  • Highlights potassium iodide as a potential treatment option for ENM.

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