Download Citation on ResearchGate | Eritema Indurado de Bazin / | Thesis ( doctoral)-Universidad Nacional de Buenos Aires, }. The existence of cutaneous nodules makes it necessary to perform a differential diagnosis between different clinical entities. The location and predisposing. Erythema induratum is a panniculitis on the calves. It occurs mainly in women, but it is very rare defined pathogen. The medical eponym Bazin disease was historically synonymous, but it applies only to the tuberculous form and is dated.

Historically, when it has occurred, it has often been concomitant with cutaneous tuberculosisand it was formerly thought to be always a reaction to the tuberculum bacillus.

Accessed December 31st, The patient was a year-old Caucasian female who had a history of systemic arterial hypertension and diabetes mellitus that started 10 years earlier and was treated with neutral protamine Hagedorn Indurqdo insulin and enalapril. Six months later, she started to present facial hyperpigmentation, and a skin biopsy showed a nonspecific increase in melanin without other histopathological lesions.

EBSCOhost | | Eritema indurado de Bazin.

J Am Acad Dermatol. Disorders of subcutaneous fat M The number of reports of EIB has been decreasing in most developed countries in accordance with the decreasing incidence of tuberculosis. Tuberculosis is an important cause of adrenal insufficiency around the world, particularly in Brazil. This showed that baazin levels of this hormone were low, at 1.

Tuberculides associadas; tuberculíde pápulo-necrótica e eritema indurado de Bazin.

The case of a female patient from the city of Santa Marta Colombia with recurrent skin abscesses of long evolution located in extremities, trunk and buttocks, positive tuberculin test and cultures and PCR for inndurado Mycobacteria is presented.

Cases occuring after mesotherapy cosmetic treatment Biomedica ; All the contents of this journal, except where otherwise noted, is indurdao under a Creative Commons Attribution License. In most cases, EIB occurs without demonstrable foci of tuberculosis infection, and the tuberculosis etiology is suggested by positive findings of purified protein derivative PPDas in the present case. It should be borne in mind that tuberculosis is an important etiological factor for Addison’s disease.

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Erythema induratum of Bazin associated with Addison’s disease: first description

Anti-tuberculosis drugs and glucocorticoid replacement led to disappearance of the signs and symptoms. Investigations on tuberculosis sites were completely negative and included x-ray and computed tomography of the chest and abdomen, urine culturing three different samplesZiehl-Neelsen staining on sputum three different samplesand gastric basin investigations.

Erythema induratum of Bazin and active renal tuberculosis. Tuberculoid leprosy Borderline tuberculoid leprosy Borderline leprosy Borderline lepromatous leprosy Lepromatous leprosy Histoid leprosy.

J Clin Endocrinol Metab. When weather is cold, ankle is cold, blue and often tender.

Because of the combination of hyponatremia, good glucose control, asthenia, low blood pressure and facial hyperpigmentation, a serum sample was obtained for cortisol measurement.

Erythema induratum is a panniculitis on the calves. Primary inoculation tuberculosis of the skin is the cutaneous analogue of the pulmonary ghon focus Primary cutaneous tuberculosis may be associated with tattooing, ritual circumcision, nose piercing, inoculation of homeopathic solutions or injury by contaminated objects to laboratory workers, surgeons or prosectors; there may be no obvious source of infection Erythema induratum of Bazin: Erythema induratum of Bazin EIB is considered to be a tuberculid reaction and consists of recurrent painful nodules.

Views Read Edit View history. None Date of first submission: Ten days after anti-tuberculosis therapy was introduced, she experienced asthenia, depressive mood and dizziness when standing up. During the last hospitalization, insulin administration was completely stopped since she was showing good glucose control.

At the end of the treatment, the ulcerated lesions had all healed and the nodules had resolved with only severe hyperpigmentation remaining. The differential diagnoses include nodular vasculitis, papulonecrotic lichen, indurative tuberculosis of Darier-Roussy, necrobiosis lipoidica diabeticorum, erythema nodosum and Weber-Christian panniculitis.

Erythema induratum

Clinical clues to the cause of Addison’s disease. A biopsy on one of the lesions demonstrated caseous necrotic granulomatous panniculitis compatible with EIB. Robbins and Cotran pathologic basis of disease 7th ed.

Abnormal arterial supply causes low-grade ischemia of ankle region. Early lesions have a mixed dermal infiltrate of neutrophils, lymphocytes and plasma cells; followed by superficial necrosis and ulceration Weeks later, tuberculoid granulomas form, with variable caseation necrosis Acid-fast bacilli are usually easy to find in the early lesions, but are rare once granulomas develop Infurado induratum of Bazin: InBazin gave the name erythema induratum to a nodular eruption that occurred on the lower legs of young women who had tuberculosis.

Changes in cortisol metabolism following rifampicin therapy. Skin inflammatory nontumor Infectious disorders Tuberculosis Author: Eritsma fast stains and PCR are positive.