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

Détails

ID Serval
serval:BIB_8C7E8732BBDA
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Erytheme chronique migrant avec lesions multiples. [Erythema migrans with multiple lesions]
Périodique
Annales de Dermatologie et de Venereologie
Auteur(s)
Constantin  C., Peter  O., Cerottini  J., Derighetti  M., Panizzon  R., Guggisberg  D.
ISSN
0151-9638 (Print)
Statut éditorial
Publié
Date de publication
05/2000
Volume
127
Numéro
5
Pages
513-6
Notes
Case Reports
English Abstract
Journal Article --- Old month value: May
Résumé
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.
Mots-clé
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
Création de la notice
25/01/2008 16:55
Dernière modification de la notice
20/08/2019 14:50
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