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Cutaneous leukocytoclastic vasculitis with cervical tuberculous lymphadenitis: A case report and literature review

Authors
 Hee Man Kim  ;  Yong-Beom Park  ;  Ho Young Maeng  ;  Soo-Kon Lee 
Citation
 RHEUMATOLOGY INTERNATIONAL, Vol.26(12) : 1154-1157, 2006 
Journal Title
 RHEUMATOLOGY INTERNATIONAL 
ISSN
 0172-8172 
Issue Date
2006
MeSH
Adolescent ; Adult ; Antitubercular Agents/therapeutic use ; Female ; Humans ; Male ; Middle Aged ; Skin/pathology ; Skin Diseases, Vascular/diagnosis* ; Skin Diseases, Vascular/drug therapy ; Skin Diseases, Vascular/microbiology* ; Treatment Outcome ; Tuberculosis, Lymph Node/complications* ; Tuberculosis, Lymph Node/drug therapy ; Tuberculosis, Lymph Node/pathology ; Vasculitis, Leukocytoclastic, Cutaneous/diagnosis* ; Vasculitis, Leukocytoclastic, Cutaneous/drug therapy ; Vasculitis, Leukocytoclastic, Cutaneous/microbiology*
Keywords
Leukocytoclastic vasculitis Mycobacterium tuberculosis
Abstract
Cutaneous leukocytoclastic vasculitis (CLV) is a small-vessel vasculitis localized to the skin. Many possible causes exist for this pathological condition, including drugs, infection, collagen vascular disease, and malignancy. However, Mycobacterium tuberculosis is rarely reported to be associated with CLV. Here, we report a 49-year-old male patient that presented with fever, myalgia, and multiple palpable purpura on both of his legs. The biopsy from the purpura yielded a histologic diagnosis of leukocytoclastic vasculitis. The patient had several enlarged lymph nodes on his right neck, and the biopsy revealed tuberculous lymphadenitis. There were no signs of vasculitis present in the internal organs. After anti-tuberculosis treatment, his fever declined and the skin purpura were completely resolved. Although incidence is rare, tuberculosis should be considered as a possible cause of CLV.
Full Text
http://link.springer.com/article/10.1007%2Fs00296-006-0152-1
DOI
10.1007/s00296-006-0152-1
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Park, Yong Beom(박용범)
Lee, Soo Kon(이수곤)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/110440
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