Panniculitis. Part I. Mostly septal panniculitis

Poliarterite nodosa cutânea: relato de caso

“…This has occurred in the patient here reported. 2 Differently from the systemic disease, cutaneous polyarteritis nodosa does not show immunologic abnormalities that could be detected by FAN, ANCA, rheumatoid factor, cryoglobulin and diminished complement levels. However, these tests must be done to rule out other more severe forms of vasculitis or rheumatologic disorders.…”

“…The assessment of the disease is also difficult due to its course, and many reported cases still have symptoms 20 years later. [1][2][3]7 The follow-up of patients with cutaneous polyarteritis nodosa is important because in some cases reported, it progressed to the systemic form.…”

“…For the diagnosis of systemic PAN, the patient must meet at least three of the following American College of Rheumatology criteria, at the same time: weight loss greater than 4 kg, livedo, testicular pain, myalgia, mononeuropathy, diastolic blood pressure greater than 90mmHg, increased serum urea or creatinine, hepatitis B, abnormal arteriography or compatible histological changes. [1][2][3] Cutaneous polyarteritis nodosa seems to be a skin limited form of PAN. Clinically, the cutaneous form lesions may present as erythematous nodules, which may ulcerate, and livedo reticularis, especially in the lower limbs.…”

“…This description very much resembles what this patient presented. [2][3][4] In patients with ulcerated cutaneous polyarteritis nodosa, a more chronic course of the disorder and with neurological involvement is common. Up to 59% of patients with ulcers present nodules concomitantly.…”

Erythema Nodosum as a Type of Septal Panniculitis in Rheumatologic Practice: Evaluation of the Course and Outcomes

“…Наиболее часто в повседневной практике ревматоло-гу приходится иметь дело с узловатой эритемой (УЭ), которая в современных условиях рассматривается как септальный Пн, протекающий преимущественно без васкулита [7]. В настоящее время самой частой причиной УЭ у детей является стрептококковая инфекция, у взрос-лых -стрептококковые инфекции и саркоидоз [9][10][11].…”