Yersinia Enterocolitica as a Cause of Erythema nodosum

Debois, J; Vandepitte, J.; Degreef, Hugo

doi:10.1159/000250900

Cited by 27 publications

(9 citation statements)

References 11 publications

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“…None of our patients had underlying sarcoidosis or inflammatory bowel disease as these conditions are uncommon in Singapore. This study also showed no underlying disease in several cases, as in other large series of other cases of erythema nodosum, where no discernible cause was identified in 20–40% of patients 2,3 …”

Section: Discussionsupporting

confidence: 86%

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Erythema nodosum in Singapore

Tay

2000

Clinical and Experimental Dermatology

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A retrospective study was carried out of all patients presenting with erythema nodosum over a 3-year period (1994-1997) at the National Skin Centre, Singapore. There were 75 patients, aged 4-70 years with a peak (40%) in the 21-30-year-old age group; 65 were female and 10 were male, giving a female to male ratio of 6.5 : 1. Precipitating factors included viral respiratory tract infections and streptococcal pharyngitis in 20 cases (26%), tuberculosis in two cases (3%), pregnancy in three cases (4%) and miscellaneous conditions: Behcet's syndrome (two cases), gonorrhoea (one case), varicella (one case) and cat-scratch disease (one case). The cause was unknown in 45 cases (60%). The pattern of erythema nodosum in Singapore is similar to that reported in the Western literature except that sarcoidosis and inflammatory bowel disease are uncommon associations.

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Section: Discussionsupporting

confidence: 86%

“…Erythema nodosum is the most common type of panniculitis. Most cases occur between the second and fourth decades of life, with a peak incidence between 20 and 30 years of age 1,2 . In Singapore, the experience was similar with most cases occurring in the second decade (40%) followed by the third decade of life (23%).…”

Section: Discussionmentioning

confidence: 88%

Erythema nodosum in Singapore

Tay

2000

Clinical and Experimental Dermatology

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“…Etiologically it is important to note the rarity of tuberculosis, found in less than 2% of cases mentioned in the literature (1,19) (Table 2). On the contrary, in large series like ours streptococcal infection remains the primary cause of erythema nodosum in children (20% to 40% of patients) (21,41). followed by Yersinia infection (20% of patients) (21)(22)(23).…”

Section: Discussionmentioning

confidence: 64%

“…On the contrary, in large series like ours streptococcal infection remains the primary cause of erythema nodosum in children (20% to 40% of patients) (21,41). followed by Yersinia infection (20% of patients) (21)(22)(23). In cases of erythema nodosum of undefined cause, it is often reported that a respiratory tract infection occurred before skin manifestations, as vvas noted in our series.…”

Section: Discussionmentioning

confidence: 64%

Erythema Nodosum in Children: A Study of 27 Patients

Labbé

Pérel

Maleville

et al. 1996

Pediatric Dermatology

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Erythema nodosum (EN) seems to occur in children more rarely than in adults. It still remains the most frequent acute panniculitis, for which the diagnosis is almost always clinical. In a retrospective study of 27 pediatric patients, we have attempted to clarify the clinical spectrum and prognosis of this disease and discuss the differential diagnosis of nodular eruptions on the lower limbs of children. In almost half the patients of our series, the cause of EN remained undetermined. Streptococcal infections (usually of the pharynx) were the most common cause of EN in children (22% of patients in our series), followed by Yersinia infection in about 15% of patients. Tuberculosis, an important cause in the past, was never found, but must always be excluded. A benign course was noted in all patients. Erythema nodosum is easily recognized clinically, but other subcutaneous lesions, especially nodular vasculitis and Schönlein-Henoch purpura, have to be excluded by pathologic study, in cases of atypical presentation or long duration.

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“…There is a marked difference in clinical symptoms between erythema nodosum due to Yersinosis and that of other origins. Generally, erythema nodosum presents upper respiratory symptoms (14,15), but erythema nodosum with Yersinosis shows abdominal symptoms preceding the skin eruption. It therefore seems necessary to test for Yersinia infection, if diarrhea and/or abdominal pains are present in cases of erythema nodosum.…”

Section: Discussionmentioning

confidence: 99%

Three Cases of Erythema Nodosum Associated with Yersinia Enterocolitica Infection

Ikeya

Mizuno

Takama

1986

The Journal of Dermatology

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Three cases of erythema nodosum associated with Yersinia enterocolitica infection were reported. They were diagnosed as Yersinosis following isolation of Yersinia enterocolitica from the feces and from serological investigation. The diagnosis was supported by the fact that Yersinia enterocolitica could be separated from the feces at an early stage of infection and that the serum agglutination titer for Yersinia enterocolitica increased within a month of infection. Clinically, the erythema nodosum preceded by abdominal pain and/or diarrhea was a complication of Yersinosis.

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Yersinia Enterocolitica as a Cause of Erythema nodosum

Cited by 27 publications

References 11 publications

Erythema nodosum in Singapore

Erythema nodosum in Singapore

Erythema Nodosum in Children: A Study of 27 Patients

Three Cases of Erythema Nodosum Associated with Yersinia Enterocolitica Infection

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