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Malignant eccrine acrospiroma: a case report.
Ellen Wenzel1, Jaytinder Sandhu, Zarko Kajgana
1Podiatric Medicine and Surgery Program, Forum Health/WRCS, Youngstown, OH, USA. E-wenzeldpm@gmail.com
Summary
A typical case of digital osteomyelitis was misdiagnosed, revealing a rare malignant eccrine acrospiroma. This highlights the critical role of pathology in diagnosing unusual conditions, even with classic presentations.
Area of Science:
- Oncology
- Dermatopathology
- Orthopedics
Background:
- Digital osteomyelitis presents with classic symptoms like draining ulcerations.
- Standard diagnostic protocols involve sending surgical specimens for pathological examination.
Observation:
- A case initially appearing as textbook digital osteomyelitis was investigated.
- Surgical specimens were submitted for pathological analysis to identify causative organisms.
Findings:
- Pathology revealed a rare malignant eccrine acrospiroma, not osteomyelitis.
- This unexpected diagnosis necessitated immediate systemic medical evaluation and treatment.
Implications:
- Emphasizes the crucial importance of thorough pathological examination of all surgical specimens.
- Underscores the need to consider rare diagnoses even in the presence of typical clinical presentations.
- Highlights the potential for misdiagnosis when relying solely on clinical presentation.
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