Erythema multiforme and erythema nodosum lesions with cervical lymphadenopathy

Abstract

A 39-year-old otherwise healthy woman presented to our dermatology clinic with a two-week history of a swelling and pain on her neck. She noted a low-grade fever and malaise for ten days. The patient reported no history of tick bite, new medication or consuming raw meat. Physical examination revealed fever (38.3°C), an enlarged, painful 4.5 x 4.8 cm sized lymphadenopathy in the right submandibular area (Fig-ure 1), multiple targetoid erythema multiforme lesions on the palms (Figure 2), and multiple erythema nodosum lesions on the shins (Figure 3). We performed whole blood count, chest X-ray, serological tests (microagglutination test), fine needle biopsy, and neck ultrasonography. Histopathologic examination of the lymph node disclosed epithelioid histiocytes with multinuclear giant cells and a suppurative inflammation (Figure 4a and 4b). Citation: Muslu Ü, Şenel E, Karabulut YY. Erhythema multiforme and erythema nodosum lesions with cervical lymphadenopathy.