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Nodular Granulomatous Phlebitis: A Case Report and Literature Review
Noé Duperrier-Ruiz1, Rosario Haro-Ramos1, Carolina Areán-Cuns2
1Dermatology Department, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain; and.
The American Journal of Dermatopathology
|June 17, 2026
Summary
Nodular granulomatous phlebitis, a rare tuberculid, presents as vein inflammation mimicking other skin conditions. Accurate diagnosis through histopathology is crucial to avoid incorrect treatments and potential tuberculosis reactivation.
Area of Science:
- Dermatology
- Pathology
- Infectious Diseases
Background:
- Nodular granulomatous phlebitis is a rare, underdiagnosed tuberculid.
- It involves granulomatous inflammation of subcutaneous veins.
- Clinically, it can be mistaken for panniculitis or superficial thrombophlebitis.
Purpose of the Study:
- To report a new case of nodular granulomatous phlebitis.
- To comprehensively review the literature on this entity.
- To delineate the clinical and histopathologic spectrum of nodular granulomatous phlebitis.
Main Methods:
- Case report of nodular granulomatous phlebitis.
- Comprehensive literature review.
Main Results:
- Histopathologic findings are essential for diagnosis.
- Nodular granulomatous phlebitis is a poorly recognized tuberculid.
- The study aims to improve understanding of its clinical and histopathologic features.
Conclusions:
- Awareness of nodular granulomatous phlebitis is critical for dermatologists and pathologists.
- Misdiagnosis can lead to inappropriate immunosuppressive therapy.
- Failure to recognize this condition carries a risk of latent tuberculosis reactivation.
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