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Ruptured epidermal inclusion cyst of the palm presenting as collar-button abscess
The Journal of Hand Surgery
|November 1, 1985
Summary
Traumatic rupture of epidermal inclusion cysts can mimic bacterial abscesses. Prompt surgical drainage is crucial for these sterile, inflammatory lesions.
Area of Science:
- Dermatology
- Surgical Pathology
Background:
- Epidermal inclusion cysts are common benign skin lesions.
- Trauma can lead to cyst rupture and secondary complications.
Observation:
- Two cases presented with ruptured epidermal inclusion cysts.
- These ruptures mimicked pyogenic collar-button abscesses due to sterile inflammation.
Findings:
- Ruptured cysts led to sterile abscesses in the palmar subcutaneous tissue.
- Abscesses required surgical drainage.
Implications:
- Consider ruptured epidermal inclusion cysts in deep space abscesses without penetrating trauma history.
- This diagnosis is important for appropriate patient management and treatment.