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Pulmonary Mycobacterium abscessus infection-induced erythema induratum

Authors :
Chin-Yin Liu
Horng-Shin Lin
Yu-Ping Hsiao
Yuan-Ti Lee
Jen-Hung Yang
Source :
Dermatologica Sinica, Vol 31, Iss 1, Pp 25-27 (2013)
Publication Year :
2013
Publisher :
Wolters Kluwer Medknow Publications, 2013.

Abstract

Erythema induratum (EI) is clinically characterized by recurrent crops of tender nodules on the lower legs and lobular panniculitis with granulomatous inflammation and pathologically characterized by vasculitis and focal fat necrosis. Currently, many authors consider EI to be a multifactorial disorder with diverse causes, including Mycobacterium tuberculosis and hepatitis C infection. Here, we report a case of a 65-year-old female with a 1-year history of recurrent crops of tender nodules and plaques on her bilateral lower legs. In addition, she had suffered from a chronic cough with sputum for 1 year and had contact history with pulmonary nontuberculous mycobacterial infection from her husband. The histopathological findings of the skin biopsies were consistent with the diagnosis of EI. Chest computed tomography revealed multiple lymphadenopathy and two sets of sputum cultures showed M. abscessus. After 2 months of anti-nontuberculous mycobacterial therapy with ciprofloxacin, the skin lesions resolved completely and there was no recurrence within the following year.

Details

Language :
English
ISSN :
10278117
Volume :
31
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Dermatologica Sinica
Publication Type :
Academic Journal
Accession number :
edsdoj.6677e20b26134c609d253018d648c75f
Document Type :
article
Full Text :
https://doi.org/10.1016/j.dsi.2012.03.002