Publications

Authors:

Baggio, Elda; Boninsegna, Letizia; Orciuoli, M.; Festa, D.; Muselli, Pietro Dante Augusto; Giardino, Alessandro; Migliara, Bruno; Cavallini, Alvise; Lipari, G.

Title:

Ulcères des membres inferieurs de diagnostic difficile : un cas d'erythème indure de Bazin

Year:

2007

Type of item:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Language:

Italiano

Format:

A Stampa

Referee:

Sì

Name of journal:

PHLEBOLOGIE

ISSN of journal:

0031-8280

N° Volume:

60

:

Editore attuale EDITIONS PHLEBOLOGIQUES FRANÇAISES 46, rue Saint-Lambert 75015 PARIS precedente: Societe Francaise de Phlebologie:46 rue Saint Lambert, 75015 Paris France:011 33 1 45330271, INTERNET: http://www.phlebolgie.com, Fax: 011 33 1 42507518

Page numbers:

187-191

Keyword:

Bazin; lower leg ulcers; tuberculosis

Short description of contents:

Introduction : Bazin's disease is a lobular panniculitis associated to a vasculitis of the hypodermic vessels with ischemic lesions of the subcutaneous tissue, necrosis and inflammatory reaction of a granulomatous type. It presents with hypodermic plaques and erythematous nodules, of many various dimensions, with recurrent feature. The disease normally has a progressive evolution. Patient : A 79 year old woman come under our observation for the presence of multiple nodular lesions located in the anterolateral region of the inferior third of the leg, progressively ulcerating. An arterio-venous Duplex scan of the inferior limbs showed a bilateral modest incontinence of the great saphenous vein, not sufficient to justify the presence of the trophic lesions. A standard radiography of the thorax, showed the presence of tubercular results. A Mantoux test turned largely positive. The biopsy of one of the cutaneous lesions revealed a granulomatous dermic phlogosis, with a necrotic extension to the hypoderm. The diagnosis of the Bazin's disease was pronounced. Subsequently, the lesions evolved in a recovery thanks to an only local treatment, with an ulcering recurrence 10 months later. Even if such lesions are still present today, the patient never wanted to proceed to any antitubercular treatment. The utility of the antitubercular treatment in the Bazin's disease is moreover underlined unanimously in all the cases reported in Literature. Conclusions: The Bazin's disease is a rather rare pathology, but it has to be taken into account when in situation of treating ulcerate lesions for which vascular or rheumatologic etiology has been excluded. If a histologic exam combined to a possible complementary research confirms the Bazin diagnosis, the indication of executing an antitubercular therapy has to be thoughtfully considered.

Product ID:

55769

Handle IRIS:

11562/225375

Deposited On:

November 15, 2012

Last Modified:

October 28, 2022

Bibliographic citation:

Baggio, Elda; Boninsegna, Letizia; Orciuoli, M.; Festa, D.; Muselli, Pietro Dante Augusto; Giardino, Alessandro; Migliara, Bruno; Cavallini, Alvise; Lipari, G., Ulcères des membres inferieurs de diagnostic difficile : un cas d'erythème indure de Bazin «PHLEBOLOGIE» , vol. 60 , 2007 , pp. 187-191

Consulta la scheda completa presente nel repository istituzionale della Ricerca di Ateneo