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Cold panniculitis: delayed onset in an adult
Michelle M Lipke, Jonathan E Cutlan, Ann C Smith1
1Department of Dermatology (4K5), Marshfield Clinic, 1000 N Oak Ave, Marshfield, WI 54449, USA. smith.ann@marshfieldclinic.org.
Cutis
|February 12, 2015
Summary
Cold panniculitis, an inflammation of subcutaneous fat, can occur after cold therapy. This case highlights a delayed onset of lesions 10 days post-exposure, differing from typical presentations.
Area of Science:
- Dermatology
- Pathology
Background:
- Panniculitis involves inflammation of subcutaneous adipose tissue, often linked to systemic conditions.
- It presents diagnostic challenges for dermatologists and dermatopathologists.
Observation:
- A 37-year-old woman developed cold panniculitis after using a cold therapy unit.
- Lesions appeared 10 days after initiating cold therapy, a delayed presentation.
Findings:
- This case demonstrates a unique delayed onset of cold panniculitis.
- The typical timeline for lesion development is 1-3 days post-cold exposure.
Implications:
- Delayed presentation of cold panniculitis may require a broader differential diagnosis.
- Understanding atypical timelines is crucial for accurate diagnosis and management of panniculitis.
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