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KMID : 0363219730110030163
Korean Journal of Dermatology
1973 Volume.11 No. 3 p.163 ~ p.166
Nodular Vasculitis Simulate to Papulonecrotic Tuberculid
ÚÓëÃÐñ/Park, Yoon Kee
òÌûóßÂ/éà÷ÁùÁ/Chin, Hong Sang/Woo, Tae Ha
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, erythema 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 1.O 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.
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