Hozyasz Kamil, Mazurczak Tomasz
Kliniki Pediatrii Instytutu Matki i Dziecka w Warszawie.
Wiad Lek. 2006;59(5-6):416-8.
We report a case of 4-years-old girl who suffered one episode of clinically typical erythema nodosum and arthralgia of short duration. Stool culture showed growth of Salmonella enteritidis. Levels of serum anti-Salmonella antibodies and immunocomplexes lowered during resolution of skin nodules. Erythema nodosum probably results from the formation of immunocomplexes and their deposition in and around blood vessels of the skin. Salmonellosis should be considered in patients presenting with erythema nodosum. Routine stool culture might provide an important diagnostic clue.
我们报告一例4岁女童，其出现一次临床典型的结节性红斑和短期关节痛。粪便培养显示肠炎沙门氏菌生长。在皮肤结节消退过程中，血清抗沙门氏菌抗体和免疫复合物水平降低。结节性红斑可能是由免疫复合物的形成及其在皮肤血管内和周围的沉积所致。出现结节性红斑的患者应考虑沙门氏菌病。常规粪便培养可能提供重要的诊断线索。
