A Case of Whipple Disease With Cutaneous Manifestations

Am J Dermatopathol. 2021 Sep 1;43(9):e104-e106. doi: 10.1097/DAD.0000000000001925.

Abstract

Whipple disease (WD) is a rare bacterial infectious disease that is classically characterized by years of arthralgia, followed by malabsorption, diarrhea, and weight loss. However, WD may manifest in virtually any organ system, and patients with WD rarely develop subcutaneous erythema nodosum-like lesions. We report a case of a 51-year-old man diagnosed with WD who subsequently developed widely distributed erythematous subcutaneous nodules after 5 months of antibiotic therapy.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Anti-Inflammatory Agents / therapeutic use
  • Erythema Nodosum / drug therapy*
  • Erythema Nodosum / microbiology
  • Erythema Nodosum / pathology*
  • Humans
  • Immune Reconstitution Inflammatory Syndrome / drug therapy
  • Immune Reconstitution Inflammatory Syndrome / pathology
  • Male
  • Middle Aged
  • Prednisone / therapeutic use
  • Recurrence
  • Whipple Disease / complications
  • Whipple Disease / drug therapy*
  • Whipple Disease / pathology*

Substances

  • Anti-Bacterial Agents
  • Anti-Inflammatory Agents
  • Prednisone