Poststeroid panniculitis in an adult.

Autor: de-Andrés-del-Rosario A; Department of Dermatology, Universitary Hospitalary Complex Coruña, A Coruña, Spain. ana.de.andres.del.rosario@sergas.es, Verea-Hernando MM, Yebra-Pimentel MT, Rosende-Maceiras L, Piñeyro-Molina F, Capdevila EF
Jazyk: angličtina
Zdroj: The American Journal of dermatopathology [Am J Dermatopathol] 2011 Oct; Vol. 33 (7), pp. e77-80.
DOI: 10.1097/DAD.0b013e318217a97d
Abstrakt: Poststeroid panniculitis is a rare disorder usually reported in children after a sudden decrease or withdrawal of corticosteroid therapy. We report a case in an adult, a finding very rarely reported in English literature. The case report is about a 34-year-old man with multiple erythematous, firm and tender subcutaneous nodules on both thighs and legs after the withdrawal of long-term doses of dexamethasone prescribed before and after surgery for a frontoinsular anaplastic oligodendroglioma. Histopathologic study revealed mainly lobular and also septal panniculitis with fat necrosis and characteristic needle-shaped clefts in radial arrangement within fat cells and multinucleated giant cells. The lesions resolved in about 5 months, after weight loss and application of topical corticosteroids for 1 month, leaving only residual hyperpigmentation.
Databáze: MEDLINE