Question:

Erythema nodosum is seen in all of the following except:

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Pancreatic disease causes pancreatic panniculitis, not erythema nodosum.
Updated On: Jun 24, 2026
  • Pregnancy
  • Tuberculosis
  • SLE
  • Chronic pancreatitis
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The Correct Option is D

Solution and Explanation

Step 1: Define erythema nodosum. It is a septal panniculitis presenting as tender red nodules on the shins, representing a delayed hypersensitivity reaction to many triggers.
Step 2: Review the known triggers. Recognised causes include streptococcal infection, tuberculosis, sarcoidosis, inflammatory bowel disease, drugs such as oral contraceptives and sulfonamides, pregnancy, and connective tissue diseases such as SLE.
Step 3: Check the odd option. Chronic pancreatitis is not a cause of erythema nodosum. Pancreatic disease instead causes a different skin lesion, pancreatic panniculitis (lobular panniculitis with fat necrosis and saponification), driven by circulating lipase, not a septal panniculitis.
Step 4: Select the exception. Pregnancy, tuberculosis and SLE all cause erythema nodosum, so the answer to all except is chronic pancreatitis.
Conclusion: Chronic pancreatitis is the exception. The printed key (D) is medically correct.
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