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We report on a 50-year-old patient with bluish swellings on the forearms and hands. These symptoms were accompanied by arthralgia. The patient treated himself with about 120 mg methylprednisolone daily, which initially resulted in only slight improvement. Microbiological investigations from cutaneous abscesses demonstrated an atypical mycobacterium (Mycobacterium chelonae). Occurrence of these bacteria is ubiquitous. In immunodeficient states infections are possible, which may be followed by dissemination of the mycobacteria in traumatic skin lesions. In the patient under discussion, dissemination was probably enhanced by the misuse of steroids. Despite chemotherapy, the patient died, perhaps as a consequence of dissemination.
U Schäfer, and
M Nilles, and
W B Schill, and
G Schütterle
January 1994,
Ryoikibetsu shokogun shirizu,
U Schäfer, and
M Nilles, and
W B Schill, and
G Schütterle
May 1978,
Nihon rinsho. Japanese journal of clinical medicine,
U Schäfer, and
M Nilles, and
W B Schill, and
G Schütterle
November 2001,
Nihon rinsho. Japanese journal of clinical medicine,
U Schäfer, and
M Nilles, and
W B Schill, and
G Schütterle
September 1962,
Japanese journal of medical science & biology,
U Schäfer, and
M Nilles, and
W B Schill, and
G Schütterle
February 1990,
Giornale italiano di dermatologia e venereologia : organo ufficiale, Societa italiana di dermatologia e sifilografia,
U Schäfer, and
M Nilles, and
W B Schill, and
G Schütterle
March 1984,
Acta pathologica japonica,
U Schäfer, and
M Nilles, and
W B Schill, and
G Schütterle
April 1996,
The veterinary quarterly,
U Schäfer, and
M Nilles, and
W B Schill, and
G Schütterle
June 1983,
Journal of the American Veterinary Medical Association,
U Schäfer, and
M Nilles, and
W B Schill, and
G Schütterle
February 1967,
L'union medicale du Canada,
U Schäfer, and
M Nilles, and
W B Schill, and
G Schütterle
January 1979,
Zhonghua jie he he hu xi xi ji bing za zhi = Chinese journal of tuberculosis and respiratory diseases,
