JOURNAL ARTICLE

Erythema induratum of Bazin

Victoria Sharon, Heidi Goodarzi, Cindy J Chambers, Maxwell A Fung, April W Armstrong
Dermatology Online Journal 2010 April 15, 16 (4): 1
20409408
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.

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