10/31/2025
It started as leg bruising in an otherwise healthy teen.
It ended with a systemic diagnosis.
This case describes a 15-year-old girl with tender, hyperpigmented nodules on both shins. One of our esteemed faculty, Leigh Ann Pansch, MSN, FNP-BC, DCNP reported in the Journal of Dermatology for NPs & PAs (September/October 2025) that biopsy confirmed erythema nodosum, a common panniculitis subtype.
Laboratory testing revealed elevated f***l calprotectin, and the patient was subsequently diagnosed with Crohn’s disease. The lesions resolved with NSAIDs alone, and corticosteroids were not required. The case highlights the importance of systemic evaluation when panniculitis presents in adolescents. Source: Pansch, et al. (JDNPPA, 2025)
Full article available through
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