Subacute Nodular Migratory Panniculitis (Vilanova Disease) Treatment & Management

Updated: May 13, 2022
  • Author: Dirk M Elston, MD; Chief Editor: William D James, MD  more...
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Treatment

Medical Care

Treatment with intralesional steroids may be effective. Otherwise, systemic medications, such as potassium iodide, dapsone, or indomethacin are used. [17, 18, 19, 20]

In pregnant patients, the oral medications should not be used. Intralesional steroids or simply no treatment are the best alternatives.

In a single reported case of idiopathic Vilanova disease in a 30-year-old man, treatment with saturated solution of potassium iodide and topical heparin was successful. [7]  

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Activity

Activity is ad lib, taking care to avoid trauma to affected areas.

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Complications

No severe complications have been reported for this condition. Complications from medical therapy can occur.

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Long-Term Monitoring

Patients should be monitored for adverse effects of medications and progress of treatment for 1-2 months or for the duration of therapy. Otherwise, routine follow-up care should be performed on an outpatient basis. As mentioned previously, relapses are common.

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