Panniculitis: A Presenting Manifestation of Disseminated Histoplasmosis in a Patient with Rheumatoid Arthritis

We report a case of histoplasma panniculitis in a patient with rheumatoid arthritis treated with multiple immunosuppressive agents including infliximab. The patient presented with erythematous plaques involving the right upper anterior abdominal wall, the right flank and later extension to involve t...

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Veröffentlicht in:Journal of clinical rheumatology 2003-08, Vol.9 (4), p.259-262
Hauptverfasser: Sawalha, Amr H, Lutz, Brock D, Chaudhary, Nadeem A, Kern, William, Harley, John B, Greenfield, Ronald A
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container_end_page 262
container_issue 4
container_start_page 259
container_title Journal of clinical rheumatology
container_volume 9
creator Sawalha, Amr H
Lutz, Brock D
Chaudhary, Nadeem A
Kern, William
Harley, John B
Greenfield, Ronald A
description We report a case of histoplasma panniculitis in a patient with rheumatoid arthritis treated with multiple immunosuppressive agents including infliximab. The patient presented with erythematous plaques involving the right upper anterior abdominal wall, the right flank and later extension to involve the left flank and the left axilla. The histopathologic examination of these lesions was consistent with lobular panniculitis and the cultures of these lesions and blood grew Histoplasma capsulatum. The clinical and histopathologic picture of histoplasma panniculitis and rheumatoid arthritis-associated panniculitis can be very similar, but the treatment is clearly different. Our case emphasizes the importance of considering rare manifestations of opportunistic infections in an era of widespread use of immunosuppressive medications in the field of rheumatology.
doi_str_mv 10.1097/01.rhu.0000083606.71931.79
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title Panniculitis: A Presenting Manifestation of Disseminated Histoplasmosis in a Patient with Rheumatoid Arthritis
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