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Bilateral heel panniculitis presenting as calcaneal osteomyelitis
Meir Marmor1, Amir Haim, Michael Drexler
1Department of Orthopedics B, Sourasky Medical Center, 6 Weitzman St, Tel Aviv 64239, Israel.
Orthopedics
|February 20, 2009
Summary
Panniculitis, an inflammation of subcutaneous fat, can mimic other conditions like bone infections. Early recognition and corticosteroid treatment are crucial for effective management of this rare inflammatory disease.
Area of Science:
- Dermatology
- Inflammatory Diseases
- Pathology
Background:
- Panniculitis involves inflammation of the subcutaneous adipose tissue.
- It often presents as a sign of underlying systemic disease.
- Diverse histopathological findings can complicate diagnosis.
Observation:
- A 66-year-old woman presented with suspected calcaneal osteomyelitis of the heel.
- Initial antibiotic and surgical treatments were ineffective.
- Symptoms progressed and appeared on the contralateral heel.
Findings:
- The patient was ultimately diagnosed with panniculitis.
- Corticosteroid therapy led to rapid clinical improvement.
- This highlights the diagnostic challenge of heel panniculitis.
Implications:
- Physicians should consider panniculitis in recalcitrant heel inflammation.
- Awareness of this rare condition is vital for appropriate treatment.
- Prompt diagnosis and corticosteroid use can improve patient outcomes.
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