Makoto Hayashi
Japan
Review Article
Atopic Dermatitis as a Potential Portal of Septic Arthritis
Author(s): Hidenori Kyo, Makoto Hayashi, Yusuke Yamawaki, Mutsumi Watanabe, Yuki Okutani, Masashi Kanamura, Hisataka Takeuchi, Satoshi Ota, Eijiro Onishi, Koichi Iwaki, Hidekazu Nishimatsu and Tadashi YasudaHidenori Kyo, Makoto Hayashi, Yusuke Yamawaki, Mutsumi Watanabe, Yuki Okutani, Masashi Kanamura, Hisataka Takeuchi, Satoshi Ota, Eijiro Onishi, Koichi Iwaki, Hidekazu Nishimatsu and Tadashi Yasuda
Objective: Skin lesions of atopic dermatitis are highly colonized with gram-positive bacteria, which may enter the blood stream through the broken skin barrier. This paper described the association between atopic dermatitis and septic arthritis in an attempt to emphasize the importance of a high index of clinical suspicion for the correct diagnosis of bacterial arthritis in patients with atopic dermatitis.
Methods: We reported one and two infections of sacroiliac joint and knees, respectively, in patients with atopic dermatitis. A systematic search of the literature revealed one case of septic arthritis of hip joint in association with atopic dermatitis. We discussed the clinical features and treatment of the articular infections.
Results: In combination with localized pain, elevation of white blood cells, erythroc.. View More»
