Some of these skin conditions are calledpyoderma gangrenosum,aphthous ulcers, and erythema nodosum.

This condition often goes away on its own or improves when the underlying IBD is under control.

People with IBD need to know the signs of this skin condition to diagnose it early.

doctor examining arm of patient

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This condition is more prevalent in adults than children, and more common in women than in men.

The formation of erythema nodosum lesions may be preceded by a flu-like feeling or generalized pain in thejoints.

The lesions last for about two weeks but may be replaced by new lesions when they resolve.

Erythema nodosum on legs

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Causes

In IBD, erythema nodosum may appear for the first time during aflare-up.

It may follow the course of IBD, which means that it improves when the flare-up is better controlled.

Treatment is usually only needed to help control the pain triggered by the lesions or in the joints.

This may include cool compresses, leg elevation, and rest.

Dermatologists or other physicians who treat skin disorders may not realize that NSAIDs have this negative effect on IBD.

Su CG, Judge TA, Lichtenstein GR.Extraintestinal manifestations of inflammatory bowel disease.Gastroenterol Clin North AmMarch 2002.

Weinstein M, Turner D, Avitzur Y.Erythema nodosum as a presentation of inflammatory bowel disease.CMAJ.

July 19, 2005.