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钩端螺旋体病表现为四肢出现结节性红斑:一种不寻常的表现。

Leptospirosis presented with erythema nodosum on four limbs: an unusual presenting.

作者信息

Davoodi Lotfollah, Kazeminejad Armaghan, Jafarpour Hamed, Razavi Alireza

机构信息

Department of Infectious Diseases, Mazandaran University of Medical Sciences, Sari, Iran.

Medical Student, Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

Oxf Med Case Reports. 2020 Jan 31;2020(1):omz130. doi: 10.1093/omcr/omz130. eCollection 2020 Jan.

DOI:10.1093/omcr/omz130
PMID:32038875
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6996038/
Abstract

Leptospirosis is a common disease between humans and animals characterized by a wide range of clinical manifestations. Erythema nodosum (EN) is a common clinical form of panniculitis or subcutaneous adipose inflammation caused by hypersensitivity responses to antigens, but the presence of EN in a subject with leptospirosis is a very rare case presentation. We will present a 42-year-old man with a headache, myalgia, nausea and rigid tender on the shin and both forearms, which was a typical form of EN lesions.

摘要

钩端螺旋体病是一种人畜共患疾病,临床表现多样。结节性红斑(EN)是脂膜炎或皮下脂肪炎症的常见临床形式,由对抗原的超敏反应引起,但在钩端螺旋体病患者中出现EN是一种非常罕见的病例表现。我们将介绍一名42岁男性,他出现头痛、肌痛、恶心,并且胫骨和双侧前臂有硬结压痛,这是EN病变的典型表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d389/6996038/be3b6371e7ea/omz130f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d389/6996038/be3b6371e7ea/omz130f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d389/6996038/be3b6371e7ea/omz130f1.jpg

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本文引用的文献

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Examination of the Microbial Spectrum in the Etiology of Erythema Nodosum: A Retrospective Descriptive Study.探讨结节性红斑病因中的微生物谱:一项回顾性描述性研究。
J Immunol Res. 2017;2017:8139591. doi: 10.1155/2017/8139591. Epub 2017 May 28.
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Clinical and laboratory manifestation and outcome of icterohemorrhagic leptospirosis patients in Northern Iran.伊朗北部出血性黄疸型钩端螺旋体病患者的临床、实验室表现及转归
Med J Islam Repub Iran. 2015 Dec 15;29:308. eCollection 2015.
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Ocular and cutaneous manifestation of leptospirosis acquired in Albania: A retrospective analysis with implications for travel medicine.
在阿尔巴尼亚获得的钩端螺旋体病的眼部和皮肤表现:回顾性分析及其对旅行医学的影响。
Travel Med Infect Dis. 2016 Mar-Apr;14(2):143-7. doi: 10.1016/j.tmaid.2015.11.011. Epub 2015 Dec 18.
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Global Morbidity and Mortality of Leptospirosis: A Systematic Review.钩端螺旋体病的全球发病率和死亡率:一项系统评价
PLoS Negl Trop Dis. 2015 Sep 17;9(9):e0003898. doi: 10.1371/journal.pntd.0003898. eCollection 2015.
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Overlapping clinical features of lupus and leptospirosis.
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Leptospirosis presenting with erythema nodosum.以结节性红斑为表现的钩端螺旋体病。
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