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KMID : 0363220150530080643
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Korean Journal of Dermatology
2015 Volume.53 No. 8 p.643 ~ p.646
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Pneumococcal Vaccine-induced Erythema Nodosum: A Case Report
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Kim Ye-Seul
Kim Kyung-O
Oh Ji-Hyeon
Lee Sung-Yul
Lee Sang-Hoon
Park Young-Lip
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Abstract
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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ⓡ. 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.
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KEYWORD
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Erythema nodosum, Pneumococcal vaccine
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