Vasculitis nodular vs. eritema indurado de Bazín, a propósito de un caso

Abstract

Nodular vasculitis is infrequent in children. We present the case of an 11-year-old girl from the urban area of the canton Pasaje, who presented resistant dermatosis on the posterior right leg, receiving multiple treatments without a specific diagnosis with no health improvement. The chest X-ray was normal and tuberculin test negative. The patient did not have other symptoms; a sample was obtained for a biopsy, finding adipose lobules with extensive necrosis surrounded by granulomas. PAS analyzes: there was no evidence of fungi and Ziehl; acid alcohol resistant bacilli were not found.􀀀􀀀This case highlights the importance of suspecting erythema Induratum Bazin and an extensive research about the existence of active tuberculosis is suggested.