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Erythema Nodosum Histology — SCE Dermatology MCQ

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HardConnective Tissue & VasculitisErythema Nodosum HistologySCE Dermatology

A patient has tender erythema nodosum, bilateral ankle periarthritis and bilateral hilar lymphadenopathy. There is no hypercalcaemia, ocular disease or respiratory impairment. What is the most appropriate initial treatment?

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Correct answer: C — Supportive treatment with an NSAID

This is Löfgren syndrome, an acute sarcoid phenotype with a favourable prognosis. In the absence of organ-threatening disease, supportive treatment such as an NSAID is appropriate; systemic immunosuppression is reserved for severe or persistent disease after relevant contraindications are considered.

Reference: https://academic.oup.com/bjd/pages/bad-guidelines