Atypical cutaneous findings in a patient with systemic lupus erythematosus
Identifieur interne : 002133 ( Main/Exploration ); précédent : 002132; suivant : 002134Atypical cutaneous findings in a patient with systemic lupus erythematosus
Auteurs : O. Elkayam [Israël] ; A. Gat [Israël] ; M. Lidgi [Israël] ; R. Segal [Israël] ; M. Yaron [Israël] ; D. Caspi [Israël]Source :
- Lupus [ 0961-2033 ] ; 2003-05.
English descriptors
- Teeft :
- Aviv, Case report, Corticosteroid, Cutaneous, Cutaneous ndings, Cutaneous tuberculosis, Elkayam, Endemic, Erythema induratum, Erythematosus, Granuloma, Hypersensitivity, Hypersensitivity reaction, Ical cutaneous ndings, Immune, Immune system, Lupus, Lupus vulgaris, Medical center, Miliary, Miliary dissemination, Miliary tuberculosis, Muscular weakness, Mycobacterium, Mycobacterium tuberculosis, Ndings, Nodule, Primary infection, Profound ulcer, Prominent cutaneous involvement, Pulmonary tuberculosis, Rash, Right hand, Skin biopsy, Skin lesions, Skin signs, Slow resolution, Subcutaneous, Systemic lupus erythematosus, Tissue disease, Tuberculosis, Typical cutaneous, Vulgaris.
Abstract
A previouslydiagnosed systemic lupus erythematosuspatient presented with arthralgia, skin rash and muscular weakness. When treated with high-dose corticosteroids and methotrexate she improved, except for a persistent lesion in the hand which evolved into a profound ulcer, along with tender subcutaneous nodules in the calf. A skin biopsy disclosed necrotizing vasculitis with giant cell granuloma revealing acid fast positive bacteria on ziels nilsen staining. A chest X-ray disclosed miliary tuberculosis (TB). The patient was diagnosed as miliary TB with prominent cutaneous involvement and treated with four anti-tuberculous drugs with slow resolution of her systemic, pulmonary and skin signs.
Url:
DOI: 10.1191/0961203303lu376cr
Affiliations:
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When treated with high-dose corticosteroids and methotrexate she improved, except for a persistent lesion in the hand which evolved into a profound ulcer, along with tender subcutaneous nodules in the calf. A skin biopsy disclosed necrotizing vasculitis with giant cell granuloma revealing acid fast positive bacteria on ziels nilsen staining. A chest X-ray disclosed miliary tuberculosis (TB). The patient was diagnosed as miliary TB with prominent cutaneous involvement and treated with four anti-tuberculous drugs with slow resolution of her systemic, pulmonary and skin signs.</div></front></TEI><affiliations><list><country><li>Israël</li></country></list><tree><country name="Israël"><noRegion><name sortKey="Elkayam, O" sort="Elkayam, O" uniqKey="Elkayam O" first="O" last="Elkayam">O. Elkayam</name></noRegion><name sortKey="Caspi, D" sort="Caspi, D" uniqKey="Caspi D" first="D" last="Caspi">D. Caspi</name><name sortKey="Gat, A" sort="Gat, A" uniqKey="Gat A" first="A" last="Gat">A. Gat</name><name sortKey="Lidgi, M" sort="Lidgi, M" uniqKey="Lidgi M" first="M" last="Lidgi">M. Lidgi</name><name sortKey="Segal, R" sort="Segal, R" uniqKey="Segal R" first="R" last="Segal">R. Segal</name><name sortKey="Yaron, M" sort="Yaron, M" uniqKey="Yaron M" first="M" last="Yaron">M. Yaron</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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