Diez Morrondo Carolina, Palmou Fontana Natalia, Lema Gontad José Manuel, Alvarez Rivas Noelia, Freire González Mercedes, García Silva Jesús, Hermida Romero Teresa, Galdo Fausto
Servicio de Reumatología, Complejo Hospitalario Universitario A Coruña, A Coruña, España.
Reumatol Clin. 2012 Nov-Dec;8(6):368-71. doi: 10.1016/j.reuma.2011.12.015. Epub 2012 Apr 6.
We herein report a patient who came to the hospital because of a polyarticular joint pain, fever and cutaneous lesions. She had silicone implants in her buttocks, a surgery performed 3 years before. We made a biopsy of the skin of the buttocks (facticial panniculitis due to silicone) and of the pretibial surface of the inferior extremities (erythema nodosum). A chest X- ray and a CT scan revealed bilateral hiliar lymphadenopathy, and a transbronquial biopsy showed granulomatous inflammation. She had a good response to rest and anti-inflammatory drugs, so the removal of the silicone implants has not been necessary yet.
我们在此报告一名因多关节疼痛、发热和皮肤病变前来医院就诊的患者。她在三年前接受过臀部硅胶植入手术。我们对臀部皮肤（硅胶所致人工脂膜炎）和下肢胫前表面皮肤（结节性红斑）进行了活检。胸部X光和CT扫描显示双侧肺门淋巴结肿大，经支气管活检显示为肉芽肿性炎症。她对休息和抗炎药物反应良好，因此目前尚无必要取出硅胶植入物。
