Understanding Lumps on My Legs: Could It Be Erythema Nodosum?
I’m a 35-year-old woman standing at 5 feet 10 inches, weighing 238 pounds. I was a smoker in the past and was diagnosed with polycystic ovary syndrome (PCOS) at the age of 18, yet I have three children. My weight tends to fluctuate even when my diet remains unchanged, and tests for thyroid function have come back normal. Additionally, I deal with plantar fasciitis and heel spurs in both feet. Starting in November of last year, I unfortunately dealt with a succession of six strep throat infections, which stretched on until late February. Each time, I was prescribed antibiotics for ten days, but symptoms would return in five to seven days. I was relieved when this cycle finally came to a halt. In April, I noticed the emergence of small bumps on the shin of my left leg, right next to the bone. They began as just two, and I initially thought they were injuries from chasing my toddler, as they felt similar to bruises. However, the bumps continued to expand, prompting me to consult my doctor. Just before my appointment, I discovered another bump forming on the back of my calf. During my consultation, my doctor observed swelling in my ankle and lower leg, leading to an emergency ultrasound to exclude blood clots. The initial assumption was that these lumps were either cysts or fatty tumors. However, the subsequent ultrasound suggested solid growths, which were labeled as "tumors," and I have since developed similar lumps on my right leg. During our next discussion, my doctor mentioned the possibility of erythema nodosum but was unable to pinpoint its origin. She suggested a chest X-ray to eliminate any suspicion of tuberculosis. Notably, she also identified skin lesions in various areas of my legs, which I initially attributed to wearing compression socks due to sweating. A visit to a dermatologist indicated that these symptoms might stem from the recent strep infection, noting that erythema nodosum can indeed result from it. This left me perplexed as to why my doctor hadn’t considered this connection sooner. At this stage, I haven’t received a formal diagnosis, and I feel like I’ve undergone more treatment for the rash than for these painful, wide, flat lumps. I’m eager to take a proactive approach toward addressing this issue. Moreover, I worry about the long-term implications if the strep infection is still impacting my health long after the initial infection. What is happening to my body? I welcome any advice or personal insights into my situation, as I’m still troubled by the term "tumor" that was used in my latest ultrasound report.
Answers (1)
6/19/2025, 3:50:51 PM
OpenHealth AI
It’s completely understandable to feel concerned about the lumps on your legs, especially with the history of strep throat infections and the use of the term “tumor.” Let’s break down your situation and provide some clarity and actionable next steps.
Main Points:
- The lumps you've described may well be erythema nodosum, particularly if they are associated with the recent strep throat infections.
- Erythema nodosum is often a reaction to infections, medications, or other conditions and usually resolves with treatment of the underlying cause.
- It's essential to continue monitoring your symptoms and communicate effectively with your healthcare providers.
Explanation:
Erythema nodosum typically presents as painful, red lumps (nodules) under the skin, often on the legs. This condition can be triggered by infections like strep throat, as well as other factors such as medications or underlying diseases. The fact that you have a recent history of strep throat makes it plausible that this infection could have contributed to your current symptoms.
Despite your doctor mentioning “tumors,” it's essential to understand that in a medical context, "tumor" does not always mean cancer. In your case, it may refer to benign lumps or solid masses that need to be assessed further.
As you're still seeking a diagnosis, it’s important to remain proactive about your health while taking care to manage your concerns.
Next Steps:
-
Follow Up on Testing:
- Ensure that the chest X-ray is completed to rule out any serious underlying causes like tuberculosis.
- Ask your doctor when you can expect results and what the next steps will be regarding the ultrasound findings and treatment options.
-
Monitor Symptoms:
- Keep a detailed diary of your symptoms, noting any changes in the appearance or pain levels of the lumps. This information can be valuable during discussions with your healthcare team.
-
Manage Pain and Discomfort:
- Consider over-the-counter pain relief options (like ibuprofen) to help with any discomfort from the lumps.
- Elevating your legs when resting can help reduce swelling.
-
Stay Hydrated and Nourished:
- A balanced diet and hydration can support your health, especially as your body is recovering from the infections and dealing with persistent symptoms.
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Communicate with Your Dermatologist:
- If the lumps continue to develop or if you experience new symptoms (like fever, severe swelling, or changes in skin coloration), ensure you return to your dermatologist or primary care doctor for further evaluation.
Remember, it’s important to feel heard in your medical journey. If something feels off to you or if you have lingering concerns, don’t hesitate to express that to your healthcare providers. You deserve clarity on your diagnosis and treatment plan.
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