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Eritema Nodosum Olarak Değerlendirilen Bir Tüberküloz Lenfadenit Olgusu

Year 2016, Volume: 16 Issue: 4, 0 - 0, 12.12.2016
https://doi.org/10.17098/amj.07183

Abstract

Eritema nodosum, gecikmiş tip hipersensitivite reaksiyonu olarak tanımlanan septal pannikülit olup, etyolojisinde enfeksiyonlar başta olmak üzere, sistemik inflamatuvar hastalıklar, maligniteler ve ilaçlar rol oynar. İç hastalıkları polikliniğine, alt ekstremitede bilateral yerleşimli çok sayıda sınırları belirgin ağrılı şişlik yakınmasıyla başvuran, lezyonlarını eritema nodosum olarak değerlendirdiğimiz ve etyolojiye yönelik araştırmasında tüberküloz lenfadenit saptadığımız 36 yaşında kadın hastayı sunduk. Gelişmekte olan ülkelerde, tüberküloz halen eritema nodosum etyolojisinde önemli bir etken olmaktadır. Bu olgu nedeni ile klinik uygulamalarımızda eritema nodosum etyolojisi araştırırken, tüberküloz açısından risk grubu dışında olan ve özellikle tipik yakınmaları olmayan hastalarda ekstrapulmoner yerleşimli tüberküloz enfeksiyonunun unutulmaması gerektiğini vurgulamayı amaçladık.

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.

A Case of Tuberculosis Lymphadenitis Evaluated as Erythema Nodosum

Year 2016, Volume: 16 Issue: 4, 0 - 0, 12.12.2016
https://doi.org/10.17098/amj.07183

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. 

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.
There are 13 citations in total.

Details

Subjects Health Care Administration
Journal Section Case Reports
Authors

Pınar Yıldız

Mustafa Yıldız

Hüseyin Yıldırım This is me

Publication Date December 12, 2016
Published in Issue Year 2016 Volume: 16 Issue: 4

Cite

APA Yıldız, P., Yıldız, M., & Yıldırım, H. (2016). A Case of Tuberculosis Lymphadenitis Evaluated as Erythema Nodosum. Ankara Medical Journal, 16(4). https://doi.org/10.17098/amj.07183
AMA Yıldız P, Yıldız M, Yıldırım H. A Case of Tuberculosis Lymphadenitis Evaluated as Erythema Nodosum. Ankara Med J. December 2016;16(4). doi:10.17098/amj.07183
Chicago Yıldız, Pınar, Mustafa Yıldız, and Hüseyin Yıldırım. “A Case of Tuberculosis Lymphadenitis Evaluated As Erythema Nodosum”. Ankara Medical Journal 16, no. 4 (December 2016). https://doi.org/10.17098/amj.07183.
EndNote Yıldız P, Yıldız M, Yıldırım H (December 1, 2016) A Case of Tuberculosis Lymphadenitis Evaluated as Erythema Nodosum. Ankara Medical Journal 16 4
IEEE P. Yıldız, M. Yıldız, and H. Yıldırım, “A Case of Tuberculosis Lymphadenitis Evaluated as Erythema Nodosum”, Ankara Med J, vol. 16, no. 4, 2016, doi: 10.17098/amj.07183.
ISNAD Yıldız, Pınar et al. “A Case of Tuberculosis Lymphadenitis Evaluated As Erythema Nodosum”. Ankara Medical Journal 16/4 (December 2016). https://doi.org/10.17098/amj.07183.
JAMA Yıldız P, Yıldız M, Yıldırım H. A Case of Tuberculosis Lymphadenitis Evaluated as Erythema Nodosum. Ankara Med J. 2016;16. doi:10.17098/amj.07183.
MLA Yıldız, Pınar et al. “A Case of Tuberculosis Lymphadenitis Evaluated As Erythema Nodosum”. Ankara Medical Journal, vol. 16, no. 4, 2016, doi:10.17098/amj.07183.
Vancouver Yıldız P, Yıldız M, Yıldırım H. A Case of Tuberculosis Lymphadenitis Evaluated as Erythema Nodosum. Ankara Med J. 2016;16(4).