Gennaio 2020 - Volume XXXIX - numero 1
Pagine elettroniche
1UOC di Pediatria e Neonatologia, Ospedale di Ravenna, AUSL della Romagna
2Scuola di Specializzazione in Pediatria, Università di Ferrara
3Pediatra, Faenza
Indirizzo per corrispondenza: chiara100@hotmail.it
Key words: Tubercolosis, Erythema nodosum, Children, Case report
Erythema nodosum (EN) is a cutaneous reaction pattern characterised by erythematous tender nodules. Generally it is idiopathic, but it has also been associated with numerous diseases. In particular, the association of EN and tuberculosis (TBC) is well known in the literature, so all EN patients need to be evaluated for the risk of TBC: chest X-ray and tuberculin skin test should be performed. The manifestation of EN secondary to TBC infection remains a challenge for health professionals as the correct diagnosis of the primary aetiology has important therapeutic implications. The paper describes the case of a 3-year-old male presenting with EN unexpectedly diagnosed with TBC. When it comes to treatment strategy there is an ongoing discussion on whether the association TBC-EN should be treated as active or latent TBC. Experts argue that antitubercular therapy should be initiated for EN in patients with positive tuberculin skin test with or without a positively identified focus of infection.
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Pagine elettroniche
1Università di Trieste
2SC di Pediatria, San Daniele (Udine)
3IRCCS Materno-Infantile “Burlo Garofolo”, Trieste
Indirizzo per corrispondenza: francesca.cossovel@gmail.com
Key words: Henoch-Schönlein purpura, Cutaneous rash, Pancreatic involvement
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