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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.

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

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