Erythema Induratum of Bazin, a Rare Manifestation of Cutaneous Tuberculosis: A Case Report

Authors

  • SK Jakaria Been Sayeed Clinical Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Md Alamgir Hossain Department of Medicine, Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh
  • Md Moniruzzaman Clinical Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Ali Shahzad Malik Department of Medicine, AL Nahdha Hospital, Muscat, Oman
  • Sabrina Rahman Department of Medicine, Dhaka Medical College Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/jom.v23i2.60635

Keywords:

Erythema induratum of Bazin, Cutaneous Tuberculosis, lobular panniculitis

Abstract

Background: Erythema induratum of Bazin is a rare manifestation of cutaneous tuberculosis. It may mimic some systemic disorders like sarcoidosis, poly arteritis nodosa, lymphoproliferative disorder, Histoplasmosis, and lupus profundus.

Case Presentation: A 38-year young female, diabetic, and hypertensive presented with multiple painful skin lesion over anterior part of her leg for 3 months. These skin lesion used to appear as painful erythematous nodules of variable size and shape over the anterior and lateral aspects of both legs that became ulcerate, healed with hyperpigmentation. On examinations, all of her systemic examinations revealed unremarkable except skin lesion. Punch biopsy from skin lesion revealed lobular panniculitis with granuloma suggestive of erythema induratum and MTB gene Xpert from skin lesion found positive. Thereafter, she was put on anti TB therapy six-month regimens according to the national TB guideline, Bangladesh. After 2 and half months of treatment, her skin lesion disappeared.

Conclusion: In a TB prevalent country, erythema induratum should be kept in differential diagnosis along with others. As it is usually underdiagnosed or misdiagnosed because of the absence of typical clinical features of TB, therefore comprehensive investigations like skin biopsy with histopathology, detecting DNA of Mycobacterium tuberculosis by PCR, positive Mantoux test are the cornerstone for confirmatory diagnosis.

J MEDICINE 2022; 23: 165-168

Downloads

Download data is not yet available.
Abstract
31
PDF
45

Downloads

Published

2022-07-24

How to Cite

Sayeed, S. J. B. ., Hossain, M. A. ., Moniruzzaman, M., Malik, A. S., & Rahman, S. . (2022). Erythema Induratum of Bazin, a Rare Manifestation of Cutaneous Tuberculosis: A Case Report. Journal of Medicine, 23(2), 165–168. https://doi.org/10.3329/jom.v23i2.60635

Issue

Vol. 23 No. 2 (2022)

Section

Case Reports

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

    1. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

  1. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).