Erytheme chronique migrant avec lesions multiples. [Erythema migrans with multiple lesions]

Details

Serval ID
serval:BIB_8C7E8732BBDA
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Erytheme chronique migrant avec lesions multiples. [Erythema migrans with multiple lesions]
Journal
Annales de Dermatologie et de Venereologie
Author(s)
Constantin  C., Peter  O., Cerottini  J., Derighetti  M., Panizzon  R., Guggisberg  D.
ISSN
0151-9638 (Print)
Publication state
Published
Issued date
05/2000
Volume
127
Number
5
Pages
513-6
Notes
Case Reports
English Abstract
Journal Article --- Old month value: May
Abstract
INTRODUCTION: Erythema migrans with multiple lesions is observed in Europe in only 5-20 p. 100 of Borrelia infections. The number of lesions observed simultaneously in one patient is less than 7, considering all the cases published in the literature to date. CASE REPORTS: We report three patients who presented multiple macular, erythematous and centrifugal lesions localized on the trunk and the limbs. The first patient presented about thirty lesions, the second more than seventy, and the third about twenty. Serology investigation and immunoblots allowed to establish the diagnosis of a recent Borrelia Burgdorferi infection, with multiples lesions of erythema migrans. PCR performed on a skin biopsy of one of the patients confirmed the presence of Borrelia burgdorferi. Response to antibiotic therapy was immediate in all 3 patients. DISCUSSION: These 3 cases are of particular interest because the number of simultaneous lesions is much higher than what is reported in the European literature. These observations remind the clinician that the diagnosis of erythema migrans with multiple lesions should be included, in Europe as well, in the differential diagnosis of multiple annular dermatoses.
Keywords
Adult Aged Anti-Bacterial Agents/therapeutic use Biopsy Borrelia burgdorferi Group/classification Doxycycline/therapeutic use Erythema Chronicum Migrans/*diagnosis/drug therapy/pathology Female Humans Immunoblotting Male Middle Aged Skin/microbiology/pathology
Pubmed
Web of science
Create date
25/01/2008 17:55
Last modification date
20/08/2019 15:50
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