A Case of Tuberculosis Lymphadenitis Evaluated as Erythema Nodosum

Pınar Yıldız, Mustafa Yıldız, Hüseyin Yıldırım
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Abstract


Erythema nodosum is a septal panniculitis defined as a delayed-type of hypersensitivity reaction, in which particularly infections,  systemic diseases, malignancies and drugs play a role in the etiology. We present here a 36 year-old female patient admitted to our internal outpatient clinic with significant painful swelling on the upper extremities and whose lesions were diagnosed as erythema nodosum and then we found tuberculosis lymphadenitis with more detailed research. Tuberculosis is still an important factor in developing countries in the erythema nodosum etiology. We want to emphasize that; despite good socio-cultural situations and no typical clinical symptoms for tuberculosis, extrapulmonary tuberculosis infection should be kept in mind while exploring the etiology of erythema nodosum. 


Keywords


Erythema nodosum, tuberculosis, axillary lymphadenitis

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References


Schwartz RA, Nervi SJ. Erythema nodosum: a sign of systemic disease. Am Fam Physician 2007;75:695-70.

Mert A, Tabak F. Eritema nodozum. Bilim Dialog 1994;9:10-4.

White WL, Hitchcock MG. Diagnosis: erythema nodosum or not? Semin Cutan Med Surg 1999;18:47-55.

Garcia-Porrua C, Gonzalez-Gay MA, Vazquez-Caruncho M, et al. Erythema nodosum: etiologic and predictive factors in a defined population. Arthritis Rheum 2000;43:584-92.

Tay YK. Erythema nodosum in Singapore. Clin Exp Dermatol 2000;25:377-80.

Atanes A, Gomez N, Aspe B, et al. Erythema nodosum: a study of 160 cases. Med Clin 1991;96:169-72.

International Study Group for Behçet Disease. Criteria for diagnosis of Behçet disease. Lancet 1990;335:1078-80.

Kaplan EL. Rheumatic fever. In: Braunwald E,Fauci AS, Kasper DL, Hauser SL, Longo DL, Jameson JL, eds. Harrison’s principles of internal medicine. 15th ed. New York: McGraw-Hill; 2001:1340-3.

More Monreal J, Rodriguez de la Serna A. Erythema nodosum. Review of 68 cases. Rev Clin Esp 1983;171:405-8.

Adışen E, Seker U, Gurer MA. Eritema Nodozumda etyolojik faktörler. Türk derm 2008;42:113 –7.

Cribier B, Caille A, Heid E, Grosshans E. Erythema nodosum and associated diseases. A study of 129 cases. Int J Dermatol 1998;37:667-72.

Mert A, Ozaras R, Tabak F, Pekmezci S, Demirkesen C, Ozturk R. Erythema nodosum: an experience of 10 years. Scand J Infect Dis 2004;36:424-7.

Blake T, Manahan M, Rodins K. Erythema nodosum - a review of an uncommon panniculitis. Dermatol Online J 2014;20:22376.






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