Share This Article:

A Case of Erythema Nodosum Associated with Subareolar Abscess

Abstract Full-Text HTML XML Download Download as PDF (Size:231KB) PP. 263-264
DOI: 10.4236/jcdsa.2012.24049    4,092 Downloads   5,884 Views  

ABSTRACT

While erythema nodosum is a nodular, erythematous eruption predominantly affecting the extensor aspects of the legs, breast abscesses are the result of relatively common bacterial infections, and only 2 studies have reported an association between erythema nodosum and breast abscesses. Here, we report the case of a patient with repeated erythema nodosum associated with subareolar abscesses. The patient was a 34-year-old woman with painful erythematous nodules on her right shin, accompanied by an indurated lesion on her right breast 4 days before the onset of the nodules. Therefore, the patient underwent circumareolar incision, and consequently the painful erythematous nodules disappeared. However, after 39 days, the patient developed another tender, painful lesion in her right breast and painful erythematous nodules on her right shin. After another circumareolar incision, the painful erythematous nodules disappeared again. Therefore, we suggested a significant association between erythema nodosum and breast abscess in this patient. The most common underlying causative organism in breast abscess is Staphylococcus aureus; however, erythema nodosum has rarely been proven to be associated with staphylococcal infections. Therefore, the relationship between S. aureus and erythema nodosum is rather controversial. However, the resistance to the usual treatment methods and prolonged clinical course in our case suggest that the pathogenesis of erythema nodosum associated with breast abscesses might be different from that of the common form of erythema nodosum.

Cite this paper

S. Minakawa, Y. Matsuzaki, D. Rokunoke, E. Akasaka, K. Nakajima, T. Aizu, T. Kaneko, H. Nakano, K. Takashima and D. Sawamura, "A Case of Erythema Nodosum Associated with Subareolar Abscess," Journal of Cosmetics, Dermatological Sciences and Applications, Vol. 2 No. 4, 2012, pp. 263-264. doi: 10.4236/jcdsa.2012.24049.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] L. Requena and C. Requena, “Erythema Nodosum,” Dermatology Online Journal, Vol. 8, No. 1, 2002, p. 4.
[2] K. Al Benwan, A. Al Mulla, H. Izumiya and M. J. Albert, “Erythema Nodosum and Bilateral Breast Abscesses Due to Salmonella Enterica Serotype Poona,” Journal of Clinical Microbiology, Vol. 48, No. 10, 2010, pp. 3786-3787. doi:10.1128/JCM.00780-10
[3] H. Ujiie, D. Sawamura, K. Yokota, Y. Tateishi, D. Inokuma and H. Shimizu, “Intractable Erythema Nodosum Associated with Severe Breast Abscesses: Reports of Two Cases,” Clinical and Experimental Dermatology, Vol. 30, No. 5, 2005, pp. 584-589.
[4] E. A. Benson, “Management of Breast Abscesses,” World Journal Surgery, Vol. 13, No. 6, 1989, pp. 753-756. doi:10.1007/BF01658428
[5] D. A. Ekland and M. G. Zeigler, “Abscess in the Nonlactating Breast,” Archives of Surgery, Vol. 107, No. 3, 1973, pp. 398-401. doi:10.1001/archsurg.1973.01350210034011
[6] B. Cribier, A. Caille, E. Heid and E. Grosshans, “Erythema Nodosum and Associated Diseases. A Study of 129 Cases,” International Journal of Dermatology, Vol. 37, No. 9, 1998, pp. 667-672. doi:10.1046/j.1365-4362.1998.00316.x

  
comments powered by Disqus

Copyright © 2020 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.