Question 8#
A 41-year-old woman presents with tender and enlarged lumps on her shins. She also endorses weakness, subjective fevers, and arthralgia. On physical examination, the following is seen below.
Which of the following is NOT associated with this dermatologic condition?
A. SarcoidosisB. Inflammatory bowel disease
C. Streptococcal infection
D. Diabetes mellitus type 2
Correct Answer is D
Comment:
Diabetes mellitus type 2. The patient in this question is presenting with erythema nodosum, inflammatory lesions of subcutaneous fat that are usually located on the shins. The nodules are usually tender and typically resolve in 1 to 2 months. (A, B, C) Although the cause of erythema nodosum is commonly unknown, it has been associated with sarcoidosis, inflammatory bowel disease, and streptococcal infection (especially in children). It has also been associated with coccidioidomycosis, histoplasmosis, TB, and leprosy. It is not associated with diabetes.