PANNICULITIS

Workup

Workup may include: skin biopsy deep enough to sample the subcutaneous fat, CBC, u.a., ASO, throat culture, PPD, CXR, Yersinia titers, liver enzymes, stool culture if diarrhea is present, intradermal or serologic tests for deep fungi, pancreatic enzymes, (e.g. lipase amylase and trypsin), muscle enzymes (dermatomyositis) and alpha-1 antitrypsin level.

Adults

Erythema nodosum
picture here

Alpha 1 Antitrypsin Deficiency Panniculitis: Suspect this in the setting of recurrent ulcerative subcutaneous nodules with serosanguinous drainage, lesions primarily on the trunk and proximal extremities; and systemic findings of shortness of breath or limb swelling.

Cold panniculitis For a picture, see Dermatology Online Journal 21(1)

Cytophagic Histiocytic Panniculitis

Dermatomyositis. Dermatomyositis may cause a lobular panniculitis [Clin and Exp Derm 2013;38;443]. Checking muscle enzymes initially and periodically in cases of unexplained lobular panniculitis is in order.

Histoplasmosis AD 121;915

Lipodermatosclerosis
picture here

Lupus panniculitis Deep-seated nodules on the upper outer arm.
picture here

Neutrophilic panniculitis associated with myelodysplastic syndromes (BJD 1997;136;142)

Erythema Induratum/Nodular vasculitis
picture here

Pancreatic panniculitis For a picture, see CMAJ

Subcutaneous T Cell Lymphoma For a picture, see JAAD June 2011 Volume 64, Issue 6, Pages e121–e123

Vilanova disease
picture here

Children

Cold panniculitis For a picture, see Created through inspiration

Subcutaneous fat necrosis of the newborn For a picture, see Dermatology Online Journal 16(2)

Rare

Pseudomonas [JAMADerm June 2014]

Trauma can induce panniculitis rarely. This patient developed deep seated nodules that later became neurotic after slamming her leg into a rock.
Traumatic Panniculitis Traumatic Panniculitis

RegionalDerm

Home | FAQs | Use of Images | Privacy Policy | Contact


It is not the intention of RegionalDerm.com to provide specific medical advice, diagnosis or treatment. RegionalDerm.com only intends to provide users with information regarding various medical conditions for educational purposes and will not provide specific medical advice. Information on RegionalDerm.com is not intended as a substitute for seeking medical treatment and you should always seek the advice of a qualified healthcare provider for diagnosis and for answers to your individual questions. Information contained on RegionalDerm.com should never cause you to disregard professional medical advice or delay seeking treatment. If you live in the United States and believe you are having a medical emergency call 911 immediately.