Picture Quiz: Answer
| Autor: | Rohan Sajeev Wijesurendra, Dalia Khan, Richard William Smith, Pru Evans, Melanie Orchard |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Erythema nodosum
medicine.medical_specialty integumentary system medicine.diagnostic_test business.industry Sagittal Sinus Thrombosis General Medicine Critical Care and Intensive Care Medicine medicine.disease Palpation Dermatology Papulopustular Emergency Medicine Internal Medicine medicine Pathergy Sarcoidosis business Uveitis Superior sagittal sinus |
| Zdroj: | Acute Medicine Journal. 9:100-101 |
| ISSN: | 1747-4884 |
| DOI: | 10.52964/amja.0394 |
| Popis: | 1. The multiple, dusky, red lesions over the shins which were tender to palpation are typical of erythema nodosum. Common causes include sarcoidosis, post-streptococcal infection, tuberculosis and inf lammatory bowel diseases. Pregnancy, drugs and Behcet’s disease are also recognised. 2. Superior sagittal sinus thrombosis (marked by arrows in Figure 3). 3. The likely diagnosis is Behcet’s disease. 4. Diagnostic clues in this case include the patient’s ethnicity, presentation with erythema nodosum, arthritis, systemic upset and mouth ulceration. However, it was actually the sagittal sinus thrombosis that prompted diagnosis, supported then by the development of unusual but characteristic pathergy lesions at venepuncture sites. Major clinical features of Behcet’s disease also include genital ulcers, eye lesions (such as uveitis) and papulopustular skin eruption. |
| Databáze: | OpenAIRE |
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