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Re: Seasonal EN

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Don't know if I'm posting my update in the right place but I'll give

it a shot. My daughter had her full battery of tests and the

diagnosis is that she is having recurring strep infections that are

causing the EN outbreaks. Her DR. said that apparently the infection

is being stored up in her tonsils but it manifests itself as EN. He

said that unless she has 5 episodes within a year he doesn't

recommend removing the tonsils and if he treated her with antibiotics

she would eventually build up an immunity to them. He said for now

hew will treat her with the lowest dosage of Prednisone possible when

she has these eruptions. He said he has a similar patient that has

been dealing with the same problem for 20 yrs. So all in all I guess

we can consider this good news!

Dale

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Dear Dale,

You posted the update perfectly. I added 's Case History

to our Member Medical Files under " Dale's Daugher, " .

Five episodes of EN a year sounds like a lot of flare-ups....when

you consider how long it can take to resolve. I wonder why the doctor

is so very cautious with the tonsil removal? I had mine removed as a

child and never missed them--they were removed as my brother had

tonsilitis and the doctor said he'd take mine out too even though I

was fine--a " two for one deal " my mother couldn't pass up.

I am glad the doctor has a plan and has experience with treating

EN and is using the lowest dose of prednisone to control the EN, but I

question if it is wise to prefer a drug treatment to a one time

surgical treatment of tonsil removal.

I can tell you that I hardly ever get sick with colds etc, so I

don't miss having tonsils. Over the long term I don't know what effect

even low dose prednisone will have. I know you are a concerned Dad, so

I just want to give my thoughts on this. By the doctor finding the

strep, you are a long way to getting the EN handled.

Please keep us posted. If you get too many emails from the group,

I can set your email preference to " special notices only " and you can

still access the group as a member by going to:

http://health.groups.yahoo.com/group/erythema_nodosum_Group

and signing into Yahoo with your ID and password.

Have a great day

Love,

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  • 5 months later...
Guest guest

Dear ,

We have discussed " seasonal EN " and two members names specifically

come to mind: Kim Jewett and Kay Luthin. I hope they see your post and

reply, but if not, you can access their messages by entering in

" seasonal EN " to our archives at the bottom of the Home page and keep

clicking on " next " until the msg come up.

I believe strep infection has been implicated in seasonal EN. Have you

been tested for it with the ASO titer test?

Love,

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