Itchy painful bumps on the lower legs

Can you make the diagnosis and answer the questions about the presentation and management of this condition?
Itchy painful bumps on the lower legs

A 55-year-old female patient is on your surgery list and has sent in the following photograph via the AccuRx system ahead of the appointment. She reports that these lumps have developed on both of her lower legs in a symmetrical pattern – they are firm to the touch and when they started, they were small itchy red bumps. They are intensely itchy causing her to scratch the skin and cause some injured areas that she is concerned are now getting infected. She is worried as some of the lesions that have settled down are leaving some scarring to the skin.

OnMedica quiz on nodular prurigo | DermNetNZ picture of nodular prurigo

Pictures' credit: DermNet NZ, CC BY-NC-ND 3.0 NZ.

OnMedica has a range of CPD resources with clinical images so you can easily keep up to date with the presentation of various conditions.

>> Explore our clinical images resources now

Join OnMedica to access more CPD quizzes

Membership is worth £180/year, but free for UK physicians.
Access bitesize CPD resources, clinical updates, guideline summaries, and more by joining today.