pregnant lady presents with noticed marks on her legs for two months, that are sore with tight clothes. She has had two episodes of loose stool which have now resolved
Erythema nodosum
N – Nasty infections: Strep, TB, Brucellosis
O – Oral pills: COCP, Pregnancy
D – Drugs: Penicillins, Sulphonamides
O – Ongoing bowel disease: IBD
S – Sarcoidosis
U – Unusual syndromes: Behçet’s
M – Malignancy/lymphoma
where on the body are keloid scars more likely to form
sternum shoulder, neck, face, extensor surface of limbs, trunk
keloid treatments
early keloids may be treated with intra-lesional steroids e.g. triamcinolone
excision is sometimes required but careful consideration needs to given to the potential to create further keloid scarring