Sturm B, Blaise B, Wilson M, Stone S P
Southern Illinois University School of Medicine, Springfield, IL.
Dermatol Online J. 2020 May 15;26(5):13030/qt2pn3m129.
We present an adult woman with subcutaneous nodules without any signs or symptoms of rheumatoid arthritis. These nodules are believed to be pseudorheumatoid nodules, which are considered a deep form of granuloma annulare. This case is unique because these are typically found in children and have rarely been reported in adults. These nodules are typically asymptomatic and do not require treatment. However, attempts have been made to treat them with intralesional corticosteroids, cryotherapy, or excision. Owing to the fact that this is considered a deep form of granuloma annulare, they are sometimes treated similarly with a combination of monthly rifampin, ofloxacin, and minocycline.
我们报告了一名成年女性，她有皮下结节，但没有类风湿性关节炎的任何体征或症状。这些结节被认为是假类风湿结节，被视为环状肉芽肿的一种深部形式。该病例很独特，因为这些结节通常见于儿童，在成人中很少有报道。这些结节通常无症状，无需治疗。然而，也有人尝试用病灶内注射皮质类固醇、冷冻疗法或手术切除来治疗它们。由于这被认为是环状肉芽肿的一种深部形式，有时也会采用每月联合使用利福平、氧氟沙星和米诺环素的方法进行治疗。
