A 17-year-old boy with Crohn's disease with colonic involvement of 2 years of evolution, in maintenance treatment with azathioprine, consults for the appearance since 5 days ago of purplish-red, hot, painful, bilateral subcutaneous nodules of pretibial location, associated with an increase in the number of stools and abdominal pain. The most appropriate approach in this case is:
It appears that the patient has erythema nodosum lesions associated with a flare of his disease, which is common. Treatment of the disease and its control usually improves the cutaneous lesions. The lesions should not be biopsied.
Recommend relative rest and warm cloths on both legs and add antidepressant treatment.
Biopsy skin areas away from the injured areas and prescribe opioid analgesics at the beginning.
Biopsy skin areas away from the injured areas and prescribe opioid analgesics at the beginning.
Suspect bilateral lower extremity ischemia of drug origin.
Adjustment of the treatment of the disease.
It appears that the patient has erythema nodosum lesions associated with a flare of his disease, which is common. Treatment of the disease and its control usually improves the cutaneous lesions. The lesions should not be biopsied.
It appears that the patient has erythema nodosum lesions associated with a flare of his disease, which is common. Treatment of the disease and its control usually improves the cutaneous lesions. The lesions should not be biopsied.
It appears that the patient has erythema nodosum lesions associated with a flare of his disease, which is common. Treatment of the disease and its control usually improves the cutaneous lesions. The lesions should not be biopsied.