Bazin Erythematosus Is Easily Confused With Many Other Diseases

Only appear with pea-sized lumps but may develop ulcers. The disease can be confused with some other diseases such as tuberculosis erosions, erythema nodosum, syphilis erosions, worm mushrooms.
There are cases that can be cured with anti-tuberculosis drugs, but there are also cases where a physician who has to use many diagnostic methods has not found the exact cause.
The cause to the illness
Initial effects appear as capillary inflammation in the subcutaneous blood vessels causing anemia, inflammation and damage to fat cells. The cause of the disease is unknown, but the hypothesis is that it is due to the immune complex that damages capillaries

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By fluorescence immunity, Ig, complement and bacterial antigen deposition was detected at nodular capillary lesions. However, most other cases have no concrete evidence supporting the immune mechanism.
Identify disease through burrs on the skin
The disease is more common in women and the clinical manifestations are nodules, lumps that grow slowly, pea-sized, chestnut or larger, when the disease is full, the lumps appear on the skin surface, round or oval , unknown limit.




There may also be hard, red patches, often on the sides, or recurrent and chronic progression.
The most common site is the calf area, but damage may occur in the lower leg and thigh. Sooner or later, this lesion is bluish red and often ulcers before healing leaving scarring. Usually painless, especially in very painful cases.
There is a link between the clumps and the clots - this is a characteristic of Bazin hard erythematosus (due to endometrial occlusion).
The middle soft lumps then ulcerate. Ulcers may be round or oval in shape, upright, and have a soft red-yellow base Around the ulcer there is sclerotic purple red border, there is no clear limit to healthy skin.



These lumps persist for a few months, develop slowly, atrophic scars, bruises, are located mainly on the legs, rarely on the front and sides of the lower legs.
The sore that progresses to the shore can last long before it heals. Tend to recur seasonally, the disease sometimes lasts many years.
Cold weather is considered an influencing factor. Patients with node capillary inflammation often experience a large, heavy swollen calf and may have livedo-like form on the lower legs and feet.
Treatment
When histological tests and etiology support the diagnosis of tuberculous nodular inflammation due to tuberculosis, anti-TB drugs should be treated according to the regimen. Even in the case of nonspecific adipose tissue inflammation, the Mantoux test should be empirically tested to try anti-TB treatment.
In the case of nodular capillary disease, TB tests are negative, bed rest and systemic steroids.




Occasionally, nonsteroidal analgesics and tetracycline are also effective. The author Schultz and Whiting reports clinical trials of capillary nodular inflammation as well as nodular erythema nodosum treatment with potassium iodide..

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