类风湿关节炎伴结节性红斑酷似蜂窝织炎的非典型表现：一例报告及结节性红斑文献综述
Atypical Presentation of Rheumatoid Arthritis With Erythema Nodosum Mimicking Cellulitis: A Case Report and Literature Review of Erythema Nodosum.
作者信息
Wagle Laxman, Basnyat Parmartha, Timshina Anuj, Regmi Rashmita
机构信息
Department of Internal Medicine Ascension Saint Agnes Hospital Baltimore Maryland USA.
Department of Internal Medicine Patan Academy of Health Science Kathmandu Nepal.
出版信息
Clin Case Rep. 2025 Jun 2;13(6):e70566. doi: 10.1002/ccr3.70566. eCollection 2025 Jun.
Erythema nodosum (EN) can be an atypical manifestation of rheumatoid arthritis (RA), as seen in this case of a 35-year-old woman initially misdiagnosed with cellulitis. Despite negative cultures and antibiotic treatment, further evaluation revealed elevated rheumatoid factor and anti-CCP antibodies, confirming RA. Steroids led to symptom resolution.
结节性红斑（EN）可能是类风湿关节炎（RA）的一种非典型表现，就像本例中一名35岁女性最初被误诊为蜂窝织炎那样。尽管培养结果为阴性且接受了抗生素治疗，但进一步评估发现类风湿因子和抗环瓜氨酸肽抗体升高，从而确诊为RA。使用类固醇后症状得到缓解。
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