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Year : 2022  |  Volume : 11  |  Issue : 3  |  Page : 326-328

Erythema induratum of bazin – Skin lesions with pyrexia of unknown origin undiagnosed for 4 years

Department of General Medicine, Nizar Hospital, Malappuram, Kerala, India

Correspondence Address:
Mansoor C Abdulla
Department of General Medicine, Nizar Hospital, Valanchery, Malappuram, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijmy.ijmy_67_22

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Erythema induratum of Bazin is characterized by chronic, tender, erythematous, indurated subcutaneous nodules on the lower extremities caused by tuberculin hypersensitivity. A 21-year-old woman presented with recurrent episodes of multiple erythematous scaly lesions over both lower limbs below the knee and low-grade fever for 4 years. She was treated from various outside hospitals with multiple courses of antibiotics and nonsteroidal anti-inflammatory drugs without improvement. The histopathology of the skin lesion was suggestive of erythema induratum. She had complete resolution of her skin lesions and fever following 6 months of treatment with antitubercular drugs. A delay in the diagnosis of rare presentations of tuberculosis can result in the administration of ineffective and potentially damaging treatments.

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