Musculoskeletal manifestations with panniculitis--a hospital based study on 62 patients in Kuwait
| Autor: | P. Kaushik, I. M. Francis, A. N. Malaviya, E. H. Ayyash |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Adult
Male medicine.medical_specialty Erythema induratum Panniculitis Adolescent Cutaneous Polyarteritis Nodosa Immunology Arthritis Rheumatology Internal medicine medicine Immunology and Allergy Humans Musculoskeletal Diseases Child Granuloma annulare Aged Erythema nodosum business.industry Middle Aged medicine.disease Dermatology Surgery Hospitalization Kuwait Polyarthritis Female business |
| Zdroj: | Rheumatology international. 19(1-2) |
| ISSN: | 0172-8172 |
| Popis: | The study describes 62 patients seen over a period of 4 years mainly presenting with an acute inflammatory ankle arthritis/periarthritis associated with panniculitis. Based upon the clinical characteristics of panniculitis two distinct categories could be defined. These included patients with characteristic lesions of erythema nodosum, seen in 51 (82%), the idiopathic form in 29 (57%), and secondary EN in 22 (43%). Associated conditions included Behcet's disease, oral contraceptive pills, pregnancy and penicillin treatment. Patients clinically not having typical EN was seen in 11 (18%). In this group the histopathology showed erythema induratum in 4, cutaneous-polyarteritis nodosa with minimal panniculitis in 3, Weber-Christian disease, cytophagic histiocytic panniculitis, and `mixed' lobular and septal variety of panniculitis in 1 each. (In 1 patient the disease was not panniculitis but cutaneous variant of granuloma annulare). It is concluded that in a hospital setting EN associated with acute musculoskeletal symptoms, mainly ankle arthritis/periarthritis or an acute peripheral polyarthritis, was a common rheumatological problem in Kuwait. However, other forms of panniculitides also presented with musculoskeletal manifestations requiring accurate histopathological diagnosis for appropriate treatment. |
| Databáze: | OpenAIRE |
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