[Auto-induced eosinophilic panniculitis: a diagnostic dilemma].
Eosinophilic panniculitis is characterized by a prominent infiltration of subcutaneous fat with eosinophils. The clinical spectrum of lesions that display pathologic changes of eosinophilic panniculitis is diverse, but nodular lesions are the most common. The factitial eosinophilic panniculitis are exceptional, show a pleomorphic pattern of findings and are associated with personality disorders. Its main challenge is to establish the correct diagnostic. We report an unusual case of factitial nodular febrile panniculitis of the left forearm and proximal arm in an 16 year-old girl. She admitted that the lesions were self-inflicted by autoinjection of several farming products as attempted suicide. We describe the clinical, radiological and histopathological features as well as the differential diagnosis of this type of panniculitis.
Gómez Rodríguez
N
N
Unidad de Reumatología, Servicio de Anatomía Patológica, Centro Médico POVISA, Salamanca no. 5, 362100 Vigo.
Ortiz-Rey
J A
JA
de la Fuente Buceta
A
A
Ibáñez Ruán
J
J
D000293:Adolescent; D001134:Arm Injuries / Q000150:complications; D004802:Eosinophilia / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D015434:Panniculitis / Q000175:diagnosis* / Q000209:etiology; D013406:Suicide, Attempted