Areias E, García E Silva L
Med Cutan Ibero Lat Am. 1984;12(6):489-95.
Erythema nodosum was found on 11 out of 106 patients with Crohn's disease (10.4%), being the most common skin complication after the perianal ones. Women were affected more often than men (2.7:1) and most of the patients were above 15 and below 40 years of age. Patients with ileocolic lesions were more often affected than those with lesions confined to the small bowel. No cases of erythema nodosum were found in association with granulomatous colitis, as opposed to other authors experience. The eruption was usually related to the periods of active inflammatory bowel disease but not to the administration of salazopyrine. The morphology and evolution of the lesions was typical of erythema nodosum and joint involvement was almost constant. The differential diagnosis with other nodular eruptions that can occur in association with Crohn's disease are discussed and hypothetical common etiopathogenic factors to both Crohn's disease and erythema nodosum are briefly considered. The relevant literature is reviewed and commented upon.
106例克罗恩病患者中有11例出现结节性红斑(10.4%),是仅次于肛周病变的最常见皮肤并发症。女性比男性更易受累(比例为2.7:1),且大多数患者年龄在15岁以上、40岁以下。回结肠病变患者比病变局限于小肠的患者更常受累。与其他作者的经验相反,未发现结节性红斑病例与肉芽肿性结肠炎相关。皮疹通常与炎症性肠病的活动期有关,而非与柳氮磺胺吡啶的使用有关。病变的形态和演变具有结节性红斑的典型特征,且几乎总是伴有关节受累。文中讨论了与克罗恩病相关的其他结节性皮疹的鉴别诊断,并简要考虑了克罗恩病和结节性红斑可能的共同病因。对相关文献进行了综述和评论。