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A Murine Model of Fetal Exposure to Maternal Inflammation to Study the Effects of Acute Chorioamnionitis on Newborn Intestinal Development
Published on: June 24, 2020
Panniculitis in childhood
Ingrid C Polcari1, Sarah L Stein
1Section of Dermatology, University of Chicago Medical Center, Chicago, Illinois, USA. ingrid.polcari@uchospitals.edu
Insights
Panniculitis is subcutaneous fat inflammation, often presenting as tender nodules. Pediatric cases include specific types, and diagnosis may require pathology, with treatment varying by cause.
Area of Science:
- Dermatology
- Pediatrics
- Pathology
Background:
- Panniculitis involves inflammation of the subcutaneous fat.
- It can be a primary condition or secondary to systemic diseases.
- Certain forms are prevalent in children, including erythema nodosum and neonatal panniculitides.
Purpose of the Study:
- To review the spectrum of panniculitis, focusing on pediatric presentations.
- To highlight diagnostic clues and the role of pathology.
- To outline general and specific treatment approaches.
Main Methods:
- Literature review of panniculitis, with emphasis on pediatric cases.
- Analysis of clinical presentations and diagnostic modalities.
- Summary of treatment strategies based on etiology.
Main Results:
- The hallmark clinical sign is tender, erythematous subcutaneous nodules.
- Diagnosis often necessitates histopathological examination.
- Pediatric panniculitides have distinct entities like cold panniculitis and neonatal fat necrosis.
Conclusions:
- Panniculitis diagnosis relies on clinical suspicion and often requires pathology.
- Management typically involves supportive care and addressing underlying conditions.
- Specific therapies are crucial for infectious or malignancy-associated panniculitis.
Abstract:
Panniculitis refers to disorders with inflammation of the subcutaneous fat. Such inflammation can be primary or can be a reaction pattern induced by a systemic process. Some types of panniculitis are seen more commonly or exclusively in children. These include erythema nodosum, subcutaneous fat necrosis of the newborn, sclerema neonatorum, poststeroid panniculitis, and cold panniculitis. The most typical clinical finding is tender, erythematous subcutaneous nodules. Clinical clues can aid in the diagnosis of the panniculitides, but pathology is often necessary to confirm the diagnosis. In general, the pediatric panniculitides are treated with supportive care and management of any underlying disorders, but certain types such as infectious panniculitis and malignancy-related panniculitis require more specific therapies.
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