Embolus, Septic, Vibrio, Immunodeficiency, Acquired, Panniculitis - DermAtlas

Contributor

Kelli Pagliai, MS IV

Diagnosis

embolus, septic vibrio immunodeficiency, acquired panniculitis

Body Site

foot leg

Age

37 years

Pigmentation

dark

Organization

Color

Morphology

plaqulous (plaque / nodule / tumor)

Pattern

Comments

A 37-year-old man with myelodysplastic syndrome was evaluated for painful nodules that erupted one day earlier on the extremities. A 4 mm skin punch biopsy of a nodule on the leg revealed a neutrophilic lobular panniculitis. An intense inflammatory infiltrate was present at the dermal-subcutaneous interface and in the adipose tissue in an interstitial pattern. Inflammatory infiltrates outlined the individual adipocytes giving a lacy pattern pattern. Special stains for organisms including PAS, acid fast, Gram-Weigert, and Brown and Hopps were negative. See Vibrio sepsis-see CME for details

Description

red tender edematous nodules some with necrosis and ulceration, edematous foot

Image Added

11/25/2001 18:11:03

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Other Resources

PubMed Medline Plus Medscape

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