Lipodermatosclerosis, Panniculitis - DermAtlas

Contributor

Margaret Moresi, MD

Diagnosis

lipodermatosclerosis panniculitis

Body Site

leg

Age

65 years

Pigmentation

medium

Organization

annular reticulated

Color

red skin color

Morphology

plaqulous (plaque / nodule / tumor)

Pattern

symmetric

Comments

This condition is commonly associated with vascular insufficiency, especially stasis changes. A frequent clinical presentation is an "apple-core" or "inverted champagne bottle" appearance to the lower legs. The differential diagnosis would include other forms of mixed septal and lobular panniculitis, including factitial etiologies.

Description

A mixed lobular and septal inflammatory process is seen in the subcutaneous fat. Septal fibrosis is seen as well as microcysts in the lobules. The overlying dermis and epidermis show little significant alteration, although occasionally stasis changes may be present.

Image Added

6/28/2002 10:15:48

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Other Resources

PubMed Medline Plus Medscape

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