Nodular granulomatous phlebitis: a phlebitic tuberculid.
A 22-year-old woman presented with recurrent non-ulcerating skin nodules overlying the great saphenous vein on the anteromedial lower legs. Histology showed a granulomatous phlebitis, and polymerase chain reaction performed on lesional skin detected DNA specific for Mycobacterium tuberculosis. The lesions resolved with anti-tuberculous therapy. This case may be a further example of nodular granulomatous phlebitis, a phlebitic tuberculid.
Department of Dermatology, Royal Brisbane Hospital, Brisbane, Australia. angelajmchugh@hotmail.com
Angela
A
McHugh
Gregory
G
Siller
Richard
R
Williamson
Catherine
C
Faulkner
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006099:Granuloma / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D006801:Humans; D007538:Isoniazid / Q000627:therapeutic use; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D015434:Panniculitis / Q000175:diagnosis; D010689:Phlebitis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D012293:Rifampin / Q000627:therapeutic use; D016896:Treatment Outcome; D014382:Tuberculosis, Cutaneous / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology
D000995:Antitubercular Agents; D007538:Isoniazid; D012293:Rifampin