Korean J Dermatol.  1973 Dec;11(3):163-166.

Nodular vasculitis Simulate to papulonecrotic Tuberculid

• Woo TH
• Park YK
• Chin HS

Abstract

The nodular vasculitis described by Montgomery on 1945 and is characterized by relatively chronic, persistent, or recurrent nodular lesions of nontuberculous origin chiefly on the legs. In the differential diagnosis the following must also be considered; erythema induratum, eythema nodosum, Weber-Christian disease, erythema nodosum migrans, recurrent thrombophrebitis and periarteritis nodosa. The authors observed one case of nodular vasculitis caused by sulfa drug. This patient was diagnosed to papulonecrotic tuberculid at first and treated by prednisolone 20 mg, INH 300 mg and streptomycin l.0 gm BIW. By the treatment, the patient, was cured completly within 3 months but visited again because of recurrence after 6 months. Therefore, same medication was given, but did not show improvment and added sulfa drug, Lederkyne. But, unfortunately the skin lesions was aggrevated after sulfa medication. It was suggestive that the cause of aggrevation was sulfa drug and discontinued the sulfa drug. The skin lesions were completely cured after the drug was discontinued.

MeSH Terms

Diagnosis, Differential
Erythema Induratum
Erythema Nodosum
Humans
Leg
Panniculitis, Nodular Nonsuppurative
Polyarteritis Nodosa
Prednisolone
Recurrence
Skin
Streptomycin
Tuberculosis, Cutaneous*
Vasculitis*
Prednisolone
Streptomycin