Date of Award


Degree Name

Athletic Training


College of Health Professions

Type of Degree


Document Type


First Advisor

Suzanne Konz

Second Advisor

Gary McIlvain

Third Advisor

Zach Garrett


Objective: The purpose of this case study is to inform athletic trainers of a systematic disease not common in our patient population.

Background: The athlete, a twenty-one YO, 160 lb, 69 inch female NCAA-I collegiate soccer goalie presented with complaint of bilateral elbow and knee joint pain and stiffness along with tender red itchy bumps on the anterior aspect of her shins. The athlete had flu-like symptoms and a URI prior to this complaint. The athlete has a history of anemia, mononucleosis, and streptococcal.

Differential Diagnosis: Rheumatoid arthritis, lymphoma, HIV/aids, erythema nodosum, lupus, Lyme disease.

Treatment: The athlete sought out multiple medical evaluations to treat the condition; including the ER. Multiple tests were run to rule out strep among other things. The athlete received various prescriptions to treat fatigue, infection, inflammation, and pain.

Uniqueness: Erythema nodosum is a rare disorder that affects approximately 1-5 per 100,000 people per year. Typically seen in the female 25-40 year old population, the cause is usually idiopathic; however, the most common cause is streptococcal pharyngitis.1-6

Conclusion: This case demonstrates the awareness of a systematic condition that could be present within the athletic population. With this information, clinicians can better diagnose and treat erythema nodosum along with awareness of etiologies causing the condition.


Athletic trainers.