Factitial panniculitides are subcutaneous tissue injuries produced by external agents or actions. In most cases, factitial panniculitis is caused by self-injection of different substances. Factitial panniculitis can also appear as an iatrogenic consequence of injections of drugs or immunization agents. The clinical features of factitial panniculitis are quite variable, depending on the inciting agent. The histopathology of factitial panniculitis usually shows a pattern of an acute lobular panniculitis associated with fat necrosis and an abundant inflammatory infiltrate predominantly composed of neutrophils.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1016/j.det.2008.05.013 | DOI Listing |
JAAD Case Rep
March 2022
Department of General Surgery, KMCH Institute of Health Sciences and Research, Coimbatore, Tamil Nadu, India.
Am J Dermatopathol
October 2020
Dermatologist and Dermatopathologist, Kempf und Pfaltz Histologische Diagnostic, Zürich, Switzerland.
Neutrophilic infiltrates in panniculitis can be seen in different clinical-pathological entities. There are a "mostly neutrophilic inflammatory infiltrate" in some entities classically defined as neutrophilic panniculitis and already included in algorithms, such as enzymatic panniculitis, infective and factitial ones, erythema induratum, or subcutaneous Sweet syndrome, but there are also other panniculitis where neutrophils are frequently observed such as panniculitis associated with inflammatory bowel disease or rheumatoid arthritis, or drug-induced panniculitis associated with BRAF inhibitors, and finally, some panniculitis are better classified in other panniculitides groups but may present with neutrophil-rich variants, such as the neutrophil-rich subcutaneous fat necrosis of the newborn. We review the main clinical and histopathological features of most of these panniculitides and construct a diagnostic algorithm including these diseases.
View Article and Find Full Text PDFDermatol Online J
May 2019
Department of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, IL.
Factitious disorder imposed on self is characterized by self-induction. Dermatitis artefacta, the cutaneous subtype of factitious disorder imposed on self, can have a variety of atypical presentations. A 36-year-old woman with an extensive past medical history presented with painful nodules on her abdomen, thighs, and arms.
View Article and Find Full Text PDFJ Wound Care
June 2019
Department of Dermatology, Hospital Universitario De La Princesa, Madrid, Spain.
Mayo Clin Proc
May 2019
Departments of Dermatology, and Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!