Korean J Dermatol.  2015 Sep;53(8):643-646.

Pneumococcal Vaccine-induced Erythema Nodosum: A Case Report

Affiliations
  • 1Department of Dermatology, College of Medicine, Soonchunhyang University, Bucheon, Korea. ylpark@schmc.ac.kr
  • 2Department of Internal Medicine, College of Medicine, Soonchunhyang University, Bucheon, Korea.

Abstract

Erythema nodosum is considered to be a hypersensitivity reaction to various conditions. Vaccination-related erythema nodosum is uncommon but cases associated with hepatitis B virus, human papillomavirus, tetanus, diphtheria and pertussis, rabies, smallpox, typhoid and cholera, and Bacille-Calmette-Guerin vaccinations have beenreported. A 33-year-old Korean woman presented with a 3-day history of painful erythematous plaques on both lower legs and knees. Prior to the development of the skin rash, she had received the pneumococcal polysaccharide conjugate vaccine Prevenar13(R). Histological examination of the left lower leg lesion revealed septal panniculitis without vasculitis. To the best of our knowledge, erythema nodosum caused by pneumococcal vaccination has not previously been reported. It is important for clinicians to be aware of this rare, yet potential, adverse effect to the pneumococcal vaccine.

Keyword

Erythema nodosum; Pneumococcal vaccine

MeSH Terms

Adult
Cholera
Diphtheria
Erythema Nodosum*
Erythema*
Exanthema
Female
Hepatitis B virus
Humans
Hypersensitivity
Knee
Leg
Panniculitis
Rabies
Smallpox
Tetanus
Typhoid Fever
Vaccination
Vasculitis
Whooping Cough
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