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DermAtlas: LEG - lipoatrophy
© 2001-2009, DermAtlas
Image Name: lipoatrophy_1_090226   File Type: jpg
Diagnosis: LIPOATROPHY /
LIPOATROPHIC PANNICULITIS /
LIPOATROPHY, ANNULAR
  Category: collagen vascular disease /
fat disorder
Body Site: leg / calf
foot / thigh
  Age: 8 years
Contributor: Bernard Cohen, MD    
Description: complete loss of fat of both distal lower extremities and partial lipoatrophy of the thighs. Note prominent muscles and vascular structures.
Comments: This healthy 8-year-old girl developed minimally painful red nodules on her ankles and lower legs 6 months ago. The lesions expanded over months and spread to her thighs. She was treated with oral steroids with rapid clearing of the red nodules but dramatic loss of subcutaneous fat. An exhaustive medical and laboratory evaluation revealed slightly enlarged thyroid gland, decreased thyroid stimulating hormone, normal thyroid hormone, and elevated anti-thyroid antibodies consistent with evolving Hashimoto thyroiditis.
Related Images: All related Images  lipoatrophy_9_090226  lipoatrophy_8_090226  lipoatrophy_6_090226  lipoatrophy_5_090226  lipoatrophy_4_090226  lipoatrophy_3_090226  lipoatrophy_2_090226 

DermAtlas: LEG - lipoatrophy
© 2001-2009, DermAtlas
Image Name: lipoatrophy_2_090226   File Type: jpg
Diagnosis: LIPOATROPHY /
LIPOATROPHIC PANNICULITIS /
LIPOATROPHY, ANNULAR
  Category: collagen vascular disease /
fat disorder
Body Site: leg / calf
foot / thigh
  Age: 8 years
Contributor: Bernard Cohen, MD    
Description: complete loss of fat of both distal lower extremities and partial lipoatrophy of the thighs. Note prominent muscles and vascular structures.
Comments: This healthy 8-year-old girl developed minimally painful red nodules on her ankles and lower legs 6 months ago. The lesions expanded over months and spread to her thighs. She was treated with oral steroids with rapid clearing of the red nodules but dramatic loss of subcutaneous fat. An exhaustive medical and laboratory evaluation revealed slightly enlarged thyroid gland, decreased thyroid stimulating hormone, normal thyroid hormone, and elevated anti-thyroid antibodies consistent with evolving Hashimoto thyroiditis.
Related Images: All related Images  lipoatrophy_9_090226  lipoatrophy_8_090226  lipoatrophy_6_090226  lipoatrophy_5_090226  lipoatrophy_4_090226  lipoatrophy_3_090226  lipoatrophy_1_090226 

DermAtlas: LEG - lipoatrophy
© 2001-2009, DermAtlas
Image Name: lipoatrophy_3_090226   File Type: jpg
Diagnosis: LIPOATROPHY /
LIPOATROPHIC PANNICULITIS /
LIPOATROPHY, ANNULAR
  Category: collagen vascular disease /
fat disorder
Body Site: leg / calf
foot / thigh
  Age: 8 years
Contributor: Bernard Cohen, MD    
Description: complete loss of fat of both distal lower extremities and partial lipoatrophy of the thighs. Note prominent muscles and vascular structures.
Comments: This healthy 8-year-old girl developed minimally painful red nodules on her ankles and lower legs 6 months ago. The lesions expanded over months and spread to her thighs. She was treated with oral steroids with rapid clearing of the red nodules but dramatic loss of subcutaneous fat. An exhaustive medical and laboratory evaluation revealed slightly enlarged thyroid gland, decreased thyroid stimulating hormone, normal thyroid hormone, and elevated anti-thyroid antibodies consistent with evolving Hashimoto thyroiditis.
Related Images: All related Images  lipoatrophy_9_090226  lipoatrophy_8_090226  lipoatrophy_6_090226  lipoatrophy_5_090226  lipoatrophy_4_090226  lipoatrophy_2_090226  lipoatrophy_1_090226 

DermAtlas: LEG - lipoatrophy
© 2001-2009, DermAtlas
Image Name: lipoatrophy_4_090226   File Type: jpg
Diagnosis: LIPOATROPHY /
LIPOATROPHIC PANNICULITIS /
LIPOATROPHY, ANNULAR
  Category: collagen vascular disease /
fat disorder
Body Site: leg / calf
foot / thigh
  Age: 8 years
Contributor: Bernard Cohen, MD    
Description: complete loss of fat of both distal lower extremities and partial lipoatrophy of the thighs. Note prominent muscles and vascular structures.
Comments: This healthy 8-year-old girl developed minimally painful red nodules on her ankles and lower legs 6 months ago. The lesions expanded over months and spread to her thighs. She was treated with oral steroids with rapid clearing of the red nodules but dramatic loss of subcutaneous fat. An exhaustive medical and laboratory evaluation revealed slightly enlarged thyroid gland, decreased thyroid stimulating hormone, normal thyroid hormone, and elevated anti-thyroid antibodies consistent with evolving Hashimoto thyroiditis.
Related Images: All related Images  lipoatrophy_9_090226  lipoatrophy_8_090226  lipoatrophy_6_090226  lipoatrophy_5_090226  lipoatrophy_3_090226  lipoatrophy_2_090226  lipoatrophy_1_090226 

DermAtlas: LEG - lipoatrophy
© 2001-2009, DermAtlas
Image Name: lipoatrophy_5_090226   File Type: jpg
Diagnosis: LIPOATROPHY /
LIPOATROPHIC PANNICULITIS /
LIPOATROPHY, ANNULAR
  Category: collagen vascular disease /
fat disorder
Body Site: leg / calf
foot / thigh
  Age: 8 years
Contributor: Bernard Cohen, MD    
Description: complete loss of fat of both distal lower extremities and partial lipoatrophy of the thighs. Note prominent muscles and vascular structures.
Comments: This healthy 8-year-old girl developed minimally painful red nodules on her ankles and lower legs 6 months ago. The lesions expanded over months and spread to her thighs. She was treated with oral steroids with rapid clearing of the red nodules but dramatic loss of subcutaneous fat. An exhaustive medical and laboratory evaluation revealed slightly enlarged thyroid gland, decreased thyroid stimulating hormone, normal thyroid hormone, and elevated anti-thyroid antibodies consistent with evolving Hashimoto thyroiditis.
Related Images: All related Images  lipoatrophy_9_090226  lipoatrophy_8_090226  lipoatrophy_6_090226  lipoatrophy_4_090226  lipoatrophy_3_090226  lipoatrophy_2_090226  lipoatrophy_1_090226 

DermAtlas: LEG - lipoatrophy
© 2001-2009, DermAtlas
Image Name: lipoatrophy_6_090226   File Type: jpg
Diagnosis: LIPOATROPHY /
LIPOATROPHIC PANNICULITIS /
LIPOATROPHY, ANNULAR
  Category: collagen vascular disease /
fat disorder
Body Site: leg / calf
foot / thigh
  Age: 8 years
Contributor: Bernard Cohen, MD    
Description: complete loss of fat of both distal lower extremities and partial lipoatrophy of the thighs. Note prominent muscles and vascular structures.
Comments: This healthy 8-year-old girl developed minimally painful red nodules on her ankles and lower legs 6 months ago. The lesions expanded over months and spread to her thighs. She was treated with oral steroids with rapid clearing of the red nodules but dramatic loss of subcutaneous fat. An exhaustive medical and laboratory evaluation revealed slightly enlarged thyroid gland, decreased thyroid stimulating hormone, normal thyroid hormone, and elevated anti-thyroid antibodies consistent with evolving Hashimoto thyroiditis.
Related Images: All related Images  lipoatrophy_9_090226  lipoatrophy_8_090226  lipoatrophy_5_090226  lipoatrophy_4_090226  lipoatrophy_3_090226  lipoatrophy_2_090226  lipoatrophy_1_090226 

DermAtlas: LEG - lipoatrophy
© 2001-2009, DermAtlas
Image Name: lipoatrophy_8_090226   File Type: jpg
Diagnosis: LIPOATROPHY /
LIPOATROPHIC PANNICULITIS /
LIPOATROPHY, ANNULAR
  Category: collagen vascular disease /
fat disorder
Body Site: leg / calf
foot / thigh
  Age: 8 years
Contributor: Bernard Cohen, MD    
Description: complete loss of fat of both distal lower extremities and partial lipoatrophy of the thighs. Note prominent muscles and vascular structures.
Comments: This healthy 8-year-old girl developed minimally painful red nodules on her ankles and lower legs 6 months ago. The lesions expanded over months and spread to her thighs. She was treated with oral steroids with rapid clearing of the red nodules but dramatic loss of subcutaneous fat. An exhaustive medical and laboratory evaluation revealed slightly enlarged thyroid gland, decreased thyroid stimulating hormone, normal thyroid hormone, and elevated anti-thyroid antibodies consistent with evolving Hashimoto thyroiditis.
Related Images: All related Images  lipoatrophy_9_090226  lipoatrophy_6_090226  lipoatrophy_5_090226  lipoatrophy_4_090226  lipoatrophy_3_090226  lipoatrophy_2_090226  lipoatrophy_1_090226 

DermAtlas: LEG - lipoatrophy
© 2001-2009, DermAtlas
Image Name: lipoatrophy_9_090226   File Type: jpg
Diagnosis: LIPOATROPHY /
LIPOATROPHIC PANNICULITIS /
LIPOATROPHY, ANNULAR
  Category: collagen vascular disease /
fat disorder
Body Site: leg / calf
foot / thigh
  Age: 8 years
Contributor: Bernard Cohen, MD    
Description: complete loss of fat of both distal lower extremities and partial lipoatrophy of the thighs. Note prominent muscles and vascular structures.
Comments: This healthy 8-year-old girl developed minimally painful red nodules on her ankles and lower legs 6 months ago. The lesions expanded over months and spread to her thighs. She was treated with oral steroids with rapid clearing of the red nodules but dramatic loss of subcutaneous fat. An exhaustive medical and laboratory evaluation revealed slightly enlarged thyroid gland, decreased thyroid stimulating hormone, normal thyroid hormone, and elevated anti-thyroid antibodies consistent with evolving Hashimoto thyroiditis.
Related Images: All related Images  lipoatrophy_8_090226  lipoatrophy_6_090226  lipoatrophy_5_090226  lipoatrophy_4_090226  lipoatrophy_3_090226  lipoatrophy_2_090226  lipoatrophy_1_090226 

DermAtlas: SHIN - erythema nodosum
© 2001-2009, DermAtlas
Image Name: erythema_nodosum_3_080809   File Type: jpg
Diagnosis: ERYTHEMA NODOSUM   Category: fat disorder /
reactive erythema
Body Site: shin / leg   Age: 20 months
Contributor: Bernard Cohen, MD    
Description: tender symmetric red-purple deep seated 2-3 cm nodules
Comments: This heatlhy toddler developed left inguinal adenitis which was incised and drained and treated with parenteral clindamycin for 3 days and oral clindamycin for an additional 5 days. At the end of her course of oral antibiotics the adenitis had resolved, but she developed subcutaneous mildly tender pretibial nodules. The eruption resolved 3 days after discontinuation of the oral antibiotic and left a faint purple discoloration.
Related Images: All related Images  erythema_nodosum_2_080809  erythema_nodosum_1_080809 

DermAtlas: SHIN - erythema nodosum
© 2001-2009, DermAtlas
Image Name: erythema_nodosum_1_080809   File Type: jpg
Diagnosis: ERYTHEMA NODOSUM   Category: fat disorder /
reactive erythema
Body Site: shin / leg   Age: 20 months
Contributor: Bernard Cohen, MD    
Description: tender symmetric red-purple deep seated 2-3 cm nodules
Comments: This heatlhy toddler developed left inguinal adenitis which was incised and drained and treated with parenteral clindamycin for 3 days and oral clindamycin for an additional 5 days. At the end of her course of oral antibiotics the adenitis had resolved, but she developed subcutaneous mildly tender pretibial nodules. The eruption resolved 3 days after discontinuation of the oral antibiotic and left a faint purple discoloration.
Related Images: All related Images  erythema_nodosum_2_080809  erythema_nodosum_3_080809 

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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