A type of panniculitis characterized histologically by the presence of granulomas, vasculitis, and necrosis. It is traditionally considered to be the tuberculous counterpart of nodular vasculitis, but is now known to occur without tuberculous precedent. It is seen most commonly in adolescent and menopausal women, is initiated or exacerbated by cold weather, and typically presents as one or more recurrent erythrocyanotic nodules or plaques on the calves. The nodules may progress to form indurations, ulcerations, and scars.
Tuberculosis of the skin. It includes scrofuloderma and tuberculid, but not LUPUS VULGARIS.
MYCOBACTERIUM infections of the female reproductive tract (GENITALIA, FEMALE).
Redness of the skin produced by congestion of the capillaries. This condition may result from a variety of causes.
An erythematous eruption commonly associated with drug reactions or infection and characterized by inflammatory nodules that are usually tender, multiple, and bilateral. These nodules are located predominantly on the shins with less common occurrence on the thighs and forearms. They undergo characteristic color changes ending in temporary bruise-like areas. This condition usually subsides in 3-6 weeks without scarring or atrophy.

Erythema induratum of Bazin and renal tuberculosis: report of an association. (1/8)

Erythema induratum of Bazin is a disease that usually affects women, in whom erythematous subcutaneous nodules and plaques appear on the posterior part of the lower extremities, some of which ulcerate. In many countries, tuberculosis is still the main etiologic factor. We report a case of a 40-year-old woman who presented a course of protracted and recurrent episodes over five years of cutaneous lesions on her legs. These tend to involute, but new crops appear at irregular intervals. It was painful, erythematous-violaceous nodules, some of which drained a reddish secretion. The histopathologic features of the lesions demonstrated inflammatory infiltration, with predominance of neutrophils in dermis and hypodermis, necrotizing vasculitis in the arterioles and septal fibrosis. There was no granuloma. The Ziehl-Neelsen stain did not revealed acid-fast bacilli, and the culture of biopsy specimen was negative. The tuberculin skin test was strongly positive (17 mm). The chest X-ray was normal. Few months later she presented adynamia and urinary complaints, such as polacyuria and dysuria. It has been done an urynalysis, which demonstrated acid pH urine, sterile pyuria and microscopic hematuria. It was then raised the diagnostic hypothesis of renal tuberculosis. The urine culture for M. tuberculosis was positive in two out of ten samples. The treatment was instituted with rifampin, isoniazid and pyrazinamide, with complete regression. This case illustrates a clear association between erythema induratum and renal tuberculosis, demonstrated by the remission of the cutaneous lesions after the treatment of the renal tuberculosis.  (+info)

Erythema induratum - a hypersensitivity reaction to Mycobacterium tuberculosis. (2/8)

Erythema induratum (also known as Bazin disease, tuberculosum, tuberculosis cutis indurativa and nodose tuberculid) is a rare condition that produces painful, firm, and sometimes ulcerated nodules on the lower legs. Distinctive and diagnostic histopathology comprises a septolobular panniculitis, necrosis, granulomatous inflammation and vasculitis.  (+info)

Reiter's syndrome in a patient with polyarthritis and nail involvement. (3/8)

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Pancreatic panniculitis: A rare form of panniculitis. (4/8)

Pancreatic panniculitis is rare form of panniculitis with associated pancreatic disease. The skin manifestations can occur at any time of the pancreatic pathology. Here we report a case of pancreatic panniculitis associated with underlying chronic pancreatitis. The patient presented with painful subcutaneous nodules and the histology revealed the characteristic features of pancreatic panniculitis.  (+info)

Erythema induratum of Bazin. (5/8)

An 81-year-old woman with a history of renal cell carcinoma and years of slowly, progressively enlarging pulmonary nodules of uncertain etiology presented with several weeks of painful lower extremity nodules. A biopsy revealed changes consistent with nodular vasculitis. A purified protein derivative and QuantiFERON test were positive, favoring the diagnosis of erythema induratum of Bazin. Treatment with a standard four-drug antituberculous regimen resulted in radiographic and clinical improvement. This case emphasizes the importance of dermatologic manifestations in the detection of systemic disease.  (+info)

Recurrence of erythema induratum of Bazin in a patient under chemotherapy for breast cancer. (6/8)

Erythema induratum of Bazin (EIB) is a chronic nodular eruption occurring on the lower legs of young and middleaged women which is considered the most common tuberculid. A 54-year-old woman, in treatment with chemotherapy for breast cancer, presented subcutaneous erythematous plaques and nodules on the lower limbs. She had been diagnosed with EIB 3 years earlier and diagnostic work-up showed at that time signs suggestive of latent tuberculosis. The suspect of a recurrent form of EIB was confirmed by histopathological examination. A peculiar feature of our report consists in the recurrence of EIB, which is regarded as a hyperergic response against M. tuberculosis antigens, in a patient who was receiving chemotherapy with well-known immunosuppressive effects.  (+info)

Erythema induratum of Bazin associated with Addison's disease: first description. (7/8)

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Erythema induratum (of Bazin) in a patient with endometrial tuberculosis. (8/8)

We report erythema induratum in a patient who was found to have active endometrial tuberculosis. This case report emphasizes the importance of an exhaustive search for active tuberculosis in patients with erythema induratum, especially in countries where tuberculosis is prevalent, as the indiscriminate treatment of erythema induratum with steroids may be harmful.  (+info)

Erythema induratum is a skin condition that is characterized by inflammation and hardening of the skin, usually occurring on the calves of the legs. It is also known as Bazin's disease. The condition typically affects young women and is thought to be related to tuberculosis infection.

The symptoms of erythema induratum include red, painful, and hard nodules or plaques on the skin that may ulcerate and form crusts. These lesions can be tender to the touch and may cause scarring. The condition often affects both legs and can be accompanied by fever, fatigue, and other systemic symptoms of tuberculosis.

The diagnosis of erythema induratum is typically made based on the clinical presentation of the skin lesions and confirmed with laboratory tests such as a biopsy or culture to detect tuberculosis infection. Treatment usually involves antibiotics to treat the underlying tuberculosis infection, as well as anti-inflammatory medications to manage the skin symptoms. In some cases, surgical removal of the lesions may be necessary.

Cutaneous tuberculosis (CTB) is a rare form of tuberculosis that affects the skin. It is caused by the Mycobacterium tuberculosis complex, including M. tuberculosis, M. bovis, and M. africanum. CTB can occur as a primary infection after direct inoculation of the skin with the bacteria, or it can be secondary to a distant focus of infection such as lung or lymph node TB.

The clinical presentation of CTB is varied and can include papules, nodules, pustules, ulcers, plaques, or scaly lesions. The lesions may be painless or painful, and they can be associated with systemic symptoms such as fever, night sweats, and weight loss.

CTB can be diagnosed through a combination of clinical examination, skin biopsy, culture, and PCR testing. Treatment typically involves a prolonged course of multiple antibiotics, often for six to nine months or more. The most commonly used drugs are isoniazid, rifampin, ethambutol, and pyrazinamide. Surgical excision may be necessary in some cases.

Prevention measures include early detection and treatment of pulmonary TB, BCG vaccination, and avoiding contact with people with active TB.

Female genital tuberculosis (FGTB) is a specific form of tuberculosis (TB) that affects the female reproductive organs. It is caused by the bacterium Mycobacterium tuberculosis, which primarily affects the lungs (pulmonary TB) but can spread to other parts of the body through the bloodstream or lymphatic system.

In FGTB, the bacteria typically infect the fallopian tubes, uterus, ovaries, and/or the cervix, leading to various gynecological symptoms. The infection can cause scarring, blockage of the fallopian tubes, and damage to the reproductive organs, which may result in infertility, ectopic pregnancy, or chronic pelvic pain.

FGTB is often asymptomatic or has non-specific symptoms, making it difficult to diagnose. Common symptoms include irregular menstrual bleeding, postmenopausal bleeding, vaginal discharge, and pelvic pain. Diagnosis typically involves a combination of clinical examination, imaging studies (such as ultrasound or CT scan), and laboratory tests (such as endometrial biopsy, PCR, or culture).

FGTB is usually treated with a standard anti-tuberculosis drug regimen that includes isoniazid, rifampicin, ethambutol, and pyrazinamide for at least six months. In some cases, surgery may be required to manage complications such as hydrosalpinx or chronic pelvic pain. Preventing the spread of pulmonary TB through early detection and treatment is crucial in preventing FGTB.

Erythema is a term used in medicine to describe redness of the skin, which occurs as a result of increased blood flow in the superficial capillaries. This redness can be caused by various factors such as inflammation, infection, trauma, or exposure to heat, cold, or ultraviolet radiation. In some cases, erythema may also be accompanied by other symptoms such as swelling, warmth, pain, or itching. It is a common finding in many medical conditions and can vary in severity from mild to severe.

Erythema nodosum is a type of inflammation that occurs in the fatty layer of the skin, causing painful, red or purple bumps (nodules) to form. It is a type of panniculitis, which refers to any condition that causes inflammation of the fatty layer of tissue beneath the skin.

Erythema nodosum is often associated with a variety of underlying conditions, such as infections (e.g., streptococcus, tuberculosis), medications (e.g., sulfa drugs, oral contraceptives), inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis), and pregnancy.

The bumps associated with erythema nodosum typically appear on the shins, ankles, knees, or other areas of the legs, although they can also occur on the arms, hands, or face. The bumps may be tender to the touch, warm, and swollen, and they may cause pain or discomfort when walking or standing for prolonged periods.

In most cases, erythema nodosum resolves on its own within a few weeks to several months, although symptoms can be managed with medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids. Treating the underlying condition is also important for resolving erythema nodosum and preventing recurrences.

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