Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
권호 표지
DOI QR코드

DOI QR Code

Lupus Panniculitis of the Lower Leg Misdiagnosed as an Abscess: A Case Report

농양으로 오인된 하퇴의 루푸스 지방층염: 증례 보고

  • Young-Chae Seo (Republic of Korea Air Force) ;
  • Hyun-Seung Lee (Department of Orthopedic Surgery, Busan Paik Hospital, College of Medicine, Inje University) ;
  • Dae-Yoo Kim (Department of Orthopedic Surgery, Busan Paik Hospital, College of Medicine, Inje University)
  • 서영채 (대한민국 공군) ;
  • 이현승 (인제대학교 의과대학 부산백병원 정형외과학교실) ;
  • 김대유 (인제대학교 의과대학 부산백병원 정형외과학교실)
  • Received : 2024.01.03
  • Accepted : 2024.02.07
  • Published : 2024.03.15
Download PDF
⟨ Previous Next ⟩

Abstract

Lupus panniculitis is a rare disease that may present with similar clinical manifestations to an infection, such as cellulitis or abscess. This paper reports a case of a 25-year-old woman with systemic lupus erythematosus who underwent surgical intervention initially with the suspicion of an abscess but who was eventually diagnosed with lupus panniculitis. Despite the low incidence of lower leg involvement of panniculitis, clinicians should be aware of the possibility of an etiology other than infection when encountering patients with inflammatory diseases. Moreover, a skin biopsy and magnetic resonance imaging with a diffusion-weight image may be helpful.

Keywords

References

  1. Wick MR. Panniculitis: a summary. Semin Diagn Pathol. 2017;34:261-72. doi: 10.1053/j.semdp.2016.12.004.
  2. Fraga J, Garcia-Diez A. Lupus erythematosus panniculitis. Dermatol Clin. 2008;26:453-63, vi. doi: 10.1016/j.det.2008.06.002.
  3. Zhang R, Dang X, Shuai L, He Q, He X, Yi Z. Lupus erythematosus panniculitis in a 10-year-old female child with severe systemic lupus erythematosus: a case report. Medicine (Baltimore). 2018;97:e9571. doi: 10.1097/MD.0000000000009571.
  4. Martens PB, Moder KG, Ahmed I. Lupus panniculitis: clinical perspectives from a case series. J Rheumatol. 1999;26:68-72.
  5. Hayeri MR, Ziai P, Shehata ML, Teytelboym OM, Huang BK. Soft-tissue infections and their imaging mimics: from cellulitis to necrotizing fasciitis. Radiographics. 2016;36:1888-910. doi: 10.1148/rg.2016160068.
  6. Kimball H, Kimball D, Siroy A, Tuna IS, Boyce BJ, Albayram MS. Novel diagnostic imaging features of facial lupus panniculitis: ultrasound, CT, and MR imaging with histopathology correlate. Clin Imaging. 2019;58:177-81. doi: 10.1016/j.clinimag.2019.07.006.
  7. Shavit E, Marzano AV, Alavi A. Ulcerative versus non-ulcerative panniculitis: is it time for a novel clinical approach to panniculitis? Int J Dermatol. 2021;60:407-17. doi: 10.1111/ijd.15224.
  8. Teo YE, Petersson BF, Farouk R, Chua WY. Pelvic panniculitis mimicking abscess in a patient with systemic lupus erythematosus. Singapore Med J. 2021;62:104-5. doi: 10.11622/smedj.2021018.
  9. Zhang Y, Shi X, Lu Y. Breast panniculitis with liquefactive fat necrosis: a case report. Exp Ther Med. 2018;15:5523-7. doi: 10.3892/etm.2018.6095.
  10. Dhaou BB, kefi A, Aydi Z, Rachdi I, Hammami H, Daoud F, et al. Lupus erythematosus panniculitis: a case report. J Dermatol Dermatol Surg. 2017;21:110-2. doi: 10.1016/j.jdds.2016.10.003.