Nudose erythema associated to Ascaris lumbricoides parasitism. Case’s presentation
Abstract
Introduction: Nudose erythema is a panniculitis, of relative frequency, that it is expressed like a manifestation of internal disorders of great significance, like the illnesses of the connective tissue, the infectious diseases and the cancer. So the patients that show it, must be studied carefully in search of the cause.
Objective: To Present a nudose erythema clinic case highlighting the diagnose of parasitical cause.
Case’s presentation: Is show the case of a white female patient, 29 years old, resident at rural municipality (Jatibonico), elementary school teacher, without pathological past health history, that assist at the consult for nodular due to a high very painful erythema on the anticus surface of both inferior members, general discomfort and arthralgia. Was clinically diagnosed a nudose erythema, and during several months were performed complementary to establish the possible cause, finding only an intestinal parasitism for Ascaris lumbricoides. He received medical treatment with antiparasitcs, disappearing the erythema. Conclusions: The accurate diagnostic, furthermore, a constantly cause searching of the cause of the nudose erythema plus the treatment of parasitism found, solve the patient’s problem. Nudose erythema always must be studied due to the possibility to be a reactive syndrome of seriously ill process.
Key words: Nudose erythema, cause, intestinal parasitism, ascaris lumbricoides, diagnostic.
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BIBLIOGRAFÍA
1.- Goldman L, Ausiello D. Cecil. Tratado de Medicina Interna. 23ra ed. España: Eselvier SA; 2009.
2.- Harrison. Principios de Medicina Interna. 17a ed. New York: McGraw-Hill; 2010.
3.- Rampin, L., Musto, A., Marzola, M. C., Tadayyon, S., Ferretti, A., Chondrogiannis, S., ... & Rubello, D. (2013). Diagnosis of unknown sarcoidosis associated to erythema nodosum with< sup> 18 F-FDG PET/CT.Revista Española de Medicina Nuclear e Imagen Molecular (English Edition),32(3), 190-192.
Disponible en: http://www.sciencedirect.com/science/article/pii/S2253808913000542
4.- Giorgini, C., Vassallo, C., Ciocca, O., Donadini, F., & Borroni, R. (2013). Su un caso di panniculite granulomatosa lobulare con pattern sarcoideo e comportamento clinico inaspettato. Bollettino della Società Medico Chirurgica di Pavia, 126(1), 133-136.
Disponible en: http://riviste.paviauniversitypress.it/index.php/bsmc/article/view/1510/1579
5.- Valletta, E. (2013). Malattie infiammatorie croniche intestinali. Quaderni acp,20(1), 3-15.
Disponible en: http://www.acp.it/wp-content/uploads/Quaderni-acp-2013_201.pdf#page=5
6.- Hernández, G. A. M., & Sanabria, C. R. (2014). Enfermedad de Behcet. Revista medica de costa rica y centroamerica, 71(611), 523-528.
Disponible en; http://www.medigraphic.com/pdfs/revmedcoscen/rmc-2014/rmc143za.pdf
7.- Walker, S. L., Lebas, E., Doni, S. N., Lockwood, D. N., & Lambert, S. M. (2014). The Mortality Associated with Erythema Nodosum Leprosum in Ethiopia: A Retrospective Hospital-Based Study. PLoS neglected tropical diseases, 8(3), e2690.
Disponible en: http://www.plosntds.org/article/info%3Adoi%2F10.1371%2Fjournal.pntd.0002690#pntd-0002690-g004
8.-Hernández, F. J., Garibay, A. R., Zavaleta, S. S., Arteaga, A. G., & Gallegos, L. D. (2013). Eritema nudoso asociado a Entamoeba histolytica. Rev Cent Dermatol Pascua, 22(1)
Disponible em: http://www.medigraphic.com/pdfs/derma/cd-2013/cd131c.pdf
9.-Bernardes Filho, F., Quaresma, M. V., Vendramini, D. L., Bonkevitc, F., Damiani, L., Alves, A. O., & da Costa Nery, J. A. (2013). ERITEMA NODOSO PÓS-INFECÇÃO DE VIA AÉREA SUPERIOR-A PROPÓSITO DE DOIS CASOS. Revista da Sociedade Portuguesa de Dermatologia e Venereologia, 71(3), 361-364
10.-Harries AD, Taylor J. Erythema nodosum associated with invasive amoebiasis and giardiasis. Br J Dermatol. 1986; 114:394.
Disponible en: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2133.1986.tb02836.x/abstract
11. - McKnight J, Tietze PE. Dermatologic manifestations of giardiasis. J Am Board Fam Pract. 1992;5:425-8.
12.- Jiménez HF y cols. Eritema nudoso asociado a Entamoeba histolytica . Rev Cent Dermatol Pascua Vol. 22, Núm. 1 Ene-Abr 2013
Disponible en: http://www.medigraphic.com/pdfs/derma/cd-2013/cd131c.pdf
13.- Paul T. Cantey, Sharon Roy, Brian Lee, Alicia Cronquist, Kirk Smith, Jennifer Liang, Michael J. Beach. Study of Nonoutbreak Giardiasis: Novel Findings and Implications for Research
The American Journal of Medicine, Volume 124, Issue 12, Pages 1175.e1-1175.e8
Disponible en: http://www.sciencedirect.com/science/article/pii/S0002934311005432