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Recurrent prurigo nodularis related to infected tonsils: a case report
Michael Katotomichelakis1, Dimitrios G Balatsouras, Konstantinos Bassioukas
1Department of Otolaryngology, Tzanion General Hospital of Piraeus, Greece. michkato@freemail.gr
Introduction:
Prurigo nodularis is an unusual disorder of unknown aetiology, which is notoriously resistant to therapy, and is characterized by extremely pruritic nodules with well-defined clinical symptoms and histopathological findings.
Case Presentation:
We report the case of a patient presenting with pruritic papules and nodules on his legs, arms and trunk over the past 4 years, recurring after episodes of acute tonsillitis. Although oral and topical corticosteroids, oral antibiotics and emollients were used in his therapy, only tonsillectomy finally proved the definitive treatment.
Conclusion:
We discuss the aetiopathogenesis, diagnosis and treatment of prurigo nodularis associated with chronic tonsillitis, and we further review the literature on this rare condition.
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