Vishnu Koneru MD
Vishnu Koneru MD

@vikrikon

7 Tweets 829 reads Mar 25, 2023
๐Ÿ“Erythema ๐—บ๐—ฎ๐—ฟ๐—ด๐—ถ๐—ป๐—ฎ๐˜๐˜‚๐—บ vs
๐Ÿ“Erythema ๐—บ๐—ถ๐—ด๐—ฟ๐—ฎ๐—ป๐˜€ vs
๐Ÿ“Erythema ๐—ถ๐—ป๐—ณ๐—ฒ๐—ฐ๐˜๐—ถ๐—ผ๐˜€๐˜‚๐—บ vs
๐Ÿ“Erythema ๐—บ๐˜‚๐—น๐˜๐—ถ๐—ณ๐—ผ๐—ฟ๐—บ๐—ฒ vs
๐Ÿ“Erythema ๐—ป๐—ผ๐—ฑ๐—ผ๐˜€๐˜‚๐—บ vs
๐Ÿ“Erythema ๐—ถ๐—ป๐—ฑ๐˜‚๐—ฟ๐—ฎ๐˜๐˜‚๐—บ
A short thread ๐Ÿงต
๐—˜.๐—บ๐—ฎ๐—ฟ๐—ด๐—ถ๐—ป๐—ฎ๐˜๐˜‚๐—บ
Annular evanescent ๐—ป๐—ผ๐—ป-tender ๐—ป๐—ผ๐—ป-itchy macule with erythematous serpiginous border & central clearing
On trunk & extremities,๐—ป๐—ฒ๐˜ƒ๐—ฒ๐—ฟ face
๐—–๐—ฎ๐˜‚๐˜€๐—ฒ-Acute Rheumatic Fever(in ~6%)
also Psittacosis,Hereditary Angioedema
๐—˜.๐—บ๐—ถ๐—ด๐—ฟ๐—ฎ๐—ป๐˜€
๐—˜๐—ฎ๐—ฟ๐—น๐—ถ๐—ฒ๐˜€๐˜ skin finding of Lymes (in ~60%)
๐— ๐—ผ๐˜€๐˜๐—น๐˜† a homogeneous erythematous eruption at tick bite site;3-30 days after bite & lasting weeks
Classic ๐—ง๐—ฎ๐—ฟ๐—ด๐—ฒ๐˜ lesion in <10%-slowly expanding erythema with central clearing
๐—ก๐—ผ itch/warmth/pain
๐—˜.๐—ถ๐—ป๐—ณ๐—ฒ๐—ฐ๐˜๐—ถ๐—ผ๐˜€๐˜‚๐—บ
(5th disease/Slapped-cheek)
๐—ฃ๐—ฎ๐—ฟ๐˜ƒ๐—ผvirus B19 in children
Erythematous malar rash of cheeks with circumferential oral pallor-๐—ป๐—ผ๐˜ early in the disease process
At time of rash; viremia is resolved, patient is well and is ๐—ป๐—ผ๐˜ infectious
๐—˜.๐—บ๐˜‚๐—น๐˜๐—ถ๐—ณ๐—ผ๐—ฟ๐—บ๐—ฒ
Acute-onset acral(face,ears,extremities)
๐—ง๐—ฎ๐—ฟ๐—ด๐—ฒ๐˜๐—ผ๐—ถ๐—ฑ(3 zones)lesion
Central:Purpuric/dusky violaceous-may blister
Middle:Ring of pallor & edema
Outer: Erythema/blister
๐—–๐—ฎ๐˜‚๐˜€๐—ฒ-Herpes & Mycoplasma mostly,
Other infections,vaccines,drugs
๐—˜.๐—ป๐—ผ๐—ฑ๐—ผ๐˜€๐˜‚๐—บ-
Acute,nodular,erythematous eruption limited to the extensor aspects of lower legs-๐—ป๐—ผ ulceration, heals- ๐—ป๐—ผ scarring.
๐—–๐—ฎ๐˜‚๐˜€๐—ฒ๐˜€ - Infections, Inflammatory states, Drugs
MCC children- Streptococcus
MCC adult- Sarcoidosis
๐—›๐—ถ๐˜€๐˜๐—ผ- Septal panniculitis
๐—˜.๐—ถ๐—ป๐—ฑ๐˜‚๐—ฟ๐—ฎ๐˜๐˜‚๐—บ ๐—ผ๐—ณ ๐—•๐—ฎ๐˜‡๐—ถ๐—ป
Chronic,nodular,erythematous-violaceous eruption on flexoral(posterior)aspect of lower legs:ulceration +- ,heal with scarring
[๐—Ÿ๐—ฒ๐˜€๐˜€ tender,erythematous Cf. E.nodosum]
๐—–๐—ฎ๐˜‚๐˜€๐—ฒ-๐—Ÿ๐—ฎ๐˜๐—ฒ๐—ป๐˜ ๐—ง๐—• in ~60%
๐—›๐—ถ๐˜€๐˜๐—ผ:Lobular panniculitis

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