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Alcohol-induced pain in tuberculous adenitis
P Custodi1, A Cerutti, R Bagnato
1Divisione di Medicina Interna, Ospedale S. Biagio, USSL 56, Domodossola, Italy.
Haematologica
|November 1, 1993
Summary
Alcohol-induced pain, a symptom linked to ethyl alcohol, can occur in various conditions. This case highlights alcohol-induced pain in tuberculous adenitis, a rare occurrence.
Area of Science:
- Internal Medicine
- Oncology
- Infectious Diseases
Background:
- Alcohol-induced pain is a recognized symptom, initially described in Hodgkin's disease.
- The precise mechanism by which ethyl alcohol induces pain remains unclear.
- This symptom has been observed in both malignant neoplasms and non-malignant conditions.
Observation:
- A patient presented with enlarged lymph nodes in the right neck, experiencing alcohol-induced pain.
- The symptom prompted an initial clinical suspicion of Hodgkin's disease.
Findings:
- Biopsy results disproved the diagnosis of Hodgkin's disease.
- Tuberculous adenitis was confirmed as the underlying condition.
- This represents a rare instance of alcohol-induced pain associated with tuberculous adenitis, with only one prior case documented.
Implications:
- Alcohol-induced pain can be an indicator for diverse underlying pathologies, not limited to malignancies.
- This case underscores the importance of considering uncommon associations, such as tuberculous adenitis, when alcohol-induced pain is present.
- Further research into the pathophysiology of alcohol-induced pain may elucidate its occurrence in various inflammatory and infectious conditions.