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A case of erythema induratum of Bazin diagnosed by neck lymph node biopsy

A case of erythema induratum of Bazin diagnosed by neck lymph node biopsy

Jibi Inkoka Tokeibu Geka 72(6): 373-375

A 56-year-old woman developed bilateral leg erythema with tenderness since 1989. In July 1993, a skin biopsy was performed, and it revealed granulation with giant cells, but the diagnosis was not confirmed. Lung tuberculosis was ruled out by chest x-ray and chest CT. In November 1997, she noticed a neck tumor and was admitted to our hospital. Neck lymph node biopsy was performed and it was revealed that the source of the lymphadenopathy was tuberculosis, and we concluded that the cause of the dermatosis was erythema induratum of Bazin. She was treated with INH, RFP, and EB, and the erythema disappeared in a month. If erythema induratum of Bazin is suspected, we should investigate not only the lungs but also the otolaryngological areas, such as the ear, pharynx, larynx, and the neck lymph nodes.

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