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BMJ Case Reports 2013; doi:10.1136/bcr-2013-009507
  • CASE REPORT

Recurrent erythema nodosum: a red flag sign of hidden systemic vasculitis

  1. Mala Bhalla2
  1. 1Department of Medicine, Government Medical College and Hospital, Chandigarh, India
  2. 2Department of Dermatology, Government Medical College and Hospital, Chandigarh, India
  1. Correspondence to Dr Monica Gupta, monicamanish2001{at}gmail.com

Summary

Takayasu's arteritis is a rare, systemic vasculitis with varied presentations across multiple medical specialities. Here, we present a young woman who had recurrent episodes of erythema nodosum on the background of a low-grade fever and no vascular manifestations. The presence of a high erythrocyte sedimentation rate generated a high index of suspicion for underlying vasculitis, and radioimaging confirmed the suspicion of Takayasu's arteritis. The patient was found to have type III diseases in the vasculitic stage and was managed with systemic corticosteroids.

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