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

Variably-sized adipocytes are present in the subcutaneous fat, including microcysts with thickened, eosinophilic walls . Fibrosis and a mild lymphocytic infiltrate are also seen.

Image Added

6/28/2002 10:57:48

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Other Resources

PubMed Medline Plus Medscape

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