Nodular vasculitis Images

Erythema induratum. 52-year-old secretary has been suffering for 3 years from this moderately painful lesion running in relapses. Findings: Clinical examination o.B. Local findings: 10 cm in longitudinal diameter large, firm plaque, interspersed with cutaneous and subcutaneous nodules. In the centre scarring, on the edge deep, poorly healing ulcerations (here crusty evidence).

erythema induratum. inflammatory, moderately painful, red to brown-red, subcutaneous nodules and plaques. size 2.5 cm, rarely up to 10 cm. often deep-reaching, necrotic melting with subsequent ulceration. chronic course over several years possible. healing with the leaving of brownish scars.

Erythema induratum (Nodular vasculitis): The 48-year-old patient has been suffering for 2 years from these intermittent, moderately painful, therapy-resistant plaques which tend to ulceration.

erythema induratum. solitary, chronically stationary, 4.0 x 3.0 cm in size, only imperceptibly growing, firm, moderately painful, reddish-brown, flatly raised, rough, scaly nodules with a deep-seated part (iceberg phenomenon). intermediate painful ulcer formation (Fig). no evidence of mycobacteriosis.

Erythema induratum. late stage: Homogeneously dense granulomatous inflammation. septa of fatty tissue widened; necrosis and thrombosis of septal small and large vessels.

Erythema induratum. late stage of inflammation; lobular connective tissue completely replaced in places by granulation tissue and broad fibrotic septa. at the upper border of the picture (center) giant cell of foreign body type. lower border of the picture (center) smaller occluded vessel.

Erythema induratum. small, completely closed vessel; remains of the vessel wall with dense lymphocyte infiltrates; beginning fibrotic-scarring transformation.