1/5. Idiopathic palmoplantar eccrine hidradenitis in children.Idiopathic palmoplantar eccrine hidradenitis (IPPH) is a recently described disorder characterized by painful erythematous plantar nodules and in three cases, showed a typical neutrophilic infiltrate around and within the eccrine sweat apparatus. Five cases of IPPH on the soles of the feet in healthy children are reported. The disorder presented after intense physical activity in four cases. The course was benign and self-limiting. Complete bed rest for several days without any medical therapy led to alleviation of the pain and disappearance of all the lesions. Conclusion. Idiopathic palmoplantar eccrine hidradenitis may be more common than reported. Paediatricians should be aware of it in order to avoid unnecessary diagnostic tests and treatments.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/5. erythema nodosum--a manifestation of chlamydia pneumoniae (strain TWAR) infection.We describe 2 cases of erythema nodosum (EN) secondary to an infection with the TWAR strain of chlamydia, recently designated chlamydia pneumoniae. Two young patients, 17 and 11 years old, were admitted with EN and no physical signs of pneumonia. One patient had a non-productive cough and fever. The other patient only ran a high fever. Chest radiography revealed bronchopneumonias. infection with the C. pneumoniae species was proven by serologic testing using microimmunofluorescence technique. serology and cultures for other bacteria known to induce EN were negative. Thus, C. pneumoniae (strain TWAR) can elicit EN.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
3/5. Painful red leg nodules and syphilis: a consideration in patients with erythema nodosum-like illness.An adolescent girl presented with the classical physical findings of painful red nodules on the legs; the lesions were suggestive of erythema nodosum. The usual underlying causes were explored and found to be absent. Because she was sexually active, the patient was also routinely screened for sexually transmitted diseases. A rapid plasma reagin test was performed and found to be strongly positive. The confirmatory fluorescent treponemal antibody test was also positive. A diagnosis of syphilis was made, and she was treated with benzathine penicillin g (2.4 X 10(6) units). This report is a reminder that when a patient is suspected of having erythema nodosum, the physician should check for syphilis as well as for tuberculosis, sarcoidosis, reaction to a drug, and streptococcal disease. panniculitis can be an important clinical sign of secondary syphilis that should never be overlooked.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
4/5. erythema nodosum caused by omeprazole.We report a case of erythema nodosum caused by omeprazole. This side effect of omeprazole has not been previously reported. A 35-year-old white woman developed multiple tender erythematous nodules over the anterior aspect of her upper and lower extremities, fever, malaise, and edema. Her symptoms resolved with withdrawal of all preexisting medications and conservative treatment. Her symptoms flared soon after a rechallenge with omeprazole. A thorough history, physical examination, laboratory evaluation, and roentgenogram failed to reveal another cause for erythema nodosum. It is clear from the rechallenge that this patient's erythema nodosum was caused by omeprazole. We consider that omeprazole should be added to the list of medications known to cause erythema nodosum.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
5/5. Painful leg lesions: a case report.We describe a case of Loefgren's syndrome where the characteristic history and physical exam allowed for the provisional diagnosis to be made in the emergency department. The diagnosis was subsequently confirmed by hilar lymph node biopsy demonstrating noncaseating granulomas. The prognosis and treatment are briefly reviewed.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |