PANICULITIS GRANULOMATOSA COMO MANIFESTACIÓN CUTÁNEA DE TUBERCULOSIS GANGLIONAR MUY PROBABLE. A PROPÓSITO DE UN PACIENTE

Alain Daniel Mateu Ly, Mabel González Escudero, Sergio Vicente Díaz Lledes

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La paniculitis o inflamación del tejido celular subcutáneo puede observarse de forma aislada o como parte de otras enfermedades de muy diversa índole. Se le ha nombrado como paniculitis nodular recidivante o enfermedad de Weber-Christian, cuando las lesiones cutáneas se acompañan de manifestaciones sistémicas y no se reconoce enfermedad subyacente que la provoque. No obstante, la anterior denominación debe abandonarse porque la paniculitis lobulillar incluye un amplio espectro de entidades clínicas, como el lupus eritematoso sistémico, sarcoidosis, infecciones bacterianas y micóticas, linfomas, leucemias, así como afecciones pancreáticas (traumatismos, inflamación aguda o crónica y carcinomas), por solo mencionar las más frecuentes.


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