† Background and Design.—
Erythema induratum of Bazin, a chronic form of nodular vasculitis, may be associated with chronic infections by Mycobacterium tuberculosis. However, the true origin of the disease is a subject of speculation and remains elusive. Two female patients (58 years old and 33 years old) with a minimum 10-year history of chronic tender ulcerating nodules on the lower aspects of the legs were studied both clinically and in the response of their peripheral T cells to purified protein derivative of tuberculin.
Both patients with no previous history of tuberculosis had strongly positive skin test results at a Mantoux 10-4 dilution (1 unit of purified protein derivative). In response to full-course triple-agent (isoniazid, rifampicin, and ethambutol) chemotherapy, a complete remission of clinical symptoms was seen in both cases and no relapse occurred after discontinuation of therapy. A marked increase in peripheral T-lymphocyte response to purified protein derivative was found before onset of and during successful therapy.
The present clinical observations together with the pronounced cellular response to purified protein derivative suggest a tuberculous origin of erythema induratum of Bazin.(Arch Dermatol. 1993;129:469-473)
Ollert MW, Thomas P, Korting HC, Schraut W, Braun-Falco O. Erythema Induratum of BazinEvidence of T-Lymphocyte Hyperresponsiveness to Purified Protein Derivative of Tuberculin: Report of Two Cases and Treatment. Arch Dermatol. 1993;129(4):469-473. doi:10.1001/archderm.1993.01680250081011