A painless, erythematous nodule enlarging to a plaque on the lower aspect of one shin in a woman.

VILANOVA DISEASE

Vilanova Disease (VD) is a variant of erythema nodosum in which a solitary inflammatory plaque appears on the lower leg. It is also called subacute nodular migratory panniculitis and erythema nodosum migrans.

Clinical

A painless, erythematous nodule enlarging to a plaque on the lower aspect of one shin in a woman is characteristic. The lesion may be chronic with slow expansion. Arthralgias, an elevated ASO titer, and an elevated ESR frequently occur. Hypothyroidism has been associated.

Differential Diagnosis

The lesion must be differntiated from cellulitis and lipodermatosclerosis.

Treatment

Oral potassium iodide is quite effective. IL triamcinolone may be tried for individual small lesions. An NSAID, e.g. indomethacin, may be helpful for the pain and may even clear the lesion. See erythema nodosum for more treatment suggestions.

RegionalDerm

It is not the intention of RegionalDerm.com to provide specific medical advice, diagnosis or treatment. RegionalDerm.com only intends to provide users with information regarding various medical conditions for educational purposes and will not provide specific medical advice. Information on RegionalDerm.com is not intended as a substitute for seeking medical treatment and you should always seek the advice of a qualified healthcare provider for diagnosis and for answers to your individual questions. Information contained on RegionalDerm.com should never cause you to disregard professional medical advice or delay seeking treatment. If you live in the United States and believe you are having a medical emergency call 911 immediately.