A Patient with Necrotizing Vasculitis Related to Sarcoidosis, which Was Diagnosed via Immunohistochemical Methods Using Propionibacterium acnes-specific Monoclonal Antibodies

  • Noda Seiji
    Department of Rheumatology, Ome General Municipal Hospital, Japan
  • Maeda Ayaka
    Department of Rheumatology, Ome General Municipal Hospital, Japan
  • Komiya Yoji
    Department of Rheumatology, Ome General Municipal Hospital, Japan
  • Soejima Makoto
    Department of Rheumatology, Ome General Municipal Hospital, Japan

書誌事項

タイトル別名
  • A Patient with Necrotizing Vasculitis Related to Sarcoidosis, which Was Diagnosed via Immunohistochemical Methods Using <i>Propionibacterium acnes</i>-specific Monoclonal Antibodies

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説明

<p>Propionibacterium acnes (P. acnes) is a commensal bacterium indigenous to the skin. Previous reports have suggested that infection with P. acnes causes sarcoidosis, a systemic granulomatous disease. We present the case of a 63-year-old woman who developed subcutaneous nodules. A skin biopsy revealed necrotizing vasculitis and noncaseating granulomas, which are characteristic of sarcoidosis. Immunohistostaining revealed a P. acnes skin infection, which led to the diagnosis of sarcoidosis. Minocycline treatment resolved the infection and improved the patient's symptoms. We herein report a case in which immunohistochemistry was useful in the diagnosis of sarcoidosis. </p>

収録刊行物

  • Internal Medicine

    Internal Medicine 59 (19), 2423-2425, 2020-10-01

    一般社団法人 日本内科学会

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