Eosinophilic foreign body granuloma after multiple self-administered bee stings.
A bee sting can cause a foreign body granuloma of the skin, due to activated macrophages at the stinging site. A 52-year-old woman presented with a large doughnut-shaped ulcerative tumour on the left side of her face. A bean-sized facial papule had grown to a 4.0 x 3.9 x 1.1 cm mass after multiple bee stings induced by herself over a period of 1 year. Histology showed epidermal ulceration with granulomatous inflammatory cell infiltration of many eosinophils. No micro-organisms or foreign bodies were identified. Intralesional triamcinolone acetonide was not effective, but an excellent outcome was obtained using carbon dioxide laser vaporization of the lesion.
Park
J H
JH
Department of Dermatology, Wonkwang University School of Medicine, Iksan, Chonbuk, Korea.
Kim
J G
JG
Cha
S H
SH
Park
S D
SD
D000818:Animals; D001516:Bees; D004803:Eosinophilic Granuloma / Q000209:etiology* / Q000601:surgery; D005148:Facial Dermatoses / Q000209:etiology* / Q000601:surgery; D005260:Female; D015745:Granuloma, Foreign-Body / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007299:Insect Bites and Stings / Q000150:complications*; D053685:Laser Therapy / Q000379:methods*; D008519:Medicine, Traditional; D008875:Middle Aged; D012648:Self Care / Q000009:adverse effects