Internal and Emergency Medicine

, Volume 12, Issue 5, pp 637–640 | Cite as

A unique pneumopathy in a patient with skin nodules and abscesses

  • Giovanni DamianiEmail author
  • Nicola di Meo
  • Angelo Valerio Marzano

Case presentation

Dr. Damiani

A 34-year-old man was referred to the Department of Dermatology of our hospital because of a presumed diagnosis of perianal Crohn’s disease. Medical history was positive for severe acne, while there was no positive family history for either inflammatory bowel diseases or allergies. On physical examination, the patient was apyretic, with a blood pressure of 132/86 mmHg, heart rate of 76 beats/min, 17 breaths/min, 97% oxygen saturation in room air. He reported a mild dyspnea occurred 1 month before, with Valleix points examination negative; however, auscultation revealed some crackles prevalently in the bases. Dermatological assessment showed multiple deep-seated inflamed nodules, fistulas and bridging scars on armpits and perianal area with scrotal involvement (Fig.  1). Laboratory investigations demonstrated an increased erythrocyte sedimentation rate (76 mm/h; range 20–50 mm/h); C-reactive protein was also elevated (18 mg/L; range 0.2–5 mg/L). Urine...


Adalimumab Interstitial Lung Disease Hidradenitis Suppurativa Autoinflammatory Disease Neutrophilic Dermatosis 
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Compliance with ethical standards

Conflict of interest

Authors declare that they have no conflict of interests.

Statement of human and animal rights

All procedures performed in the present study involving human being were in accordance with the ethical standards of the institutional and national research committee and with 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from the patient.


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Copyright information

© SIMI 2017

Authors and Affiliations

  • Giovanni Damiani
    • 1
    Email author
  • Nicola di Meo
    • 2
  • Angelo Valerio Marzano
    • 1
  1. 1.Dipartimento di Fisiopatologia Medico-Chirurgica e dei TrapiantiUniversità degli Studi di Milano, Unità Operativa di Dermatologia, IRCCS Fondazione Ca’ Granda, Ospedale maggiore PoliclinicoMilanItaly
  2. 2.Department of DermatologyUniversity of TriesteTriesteItaly

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