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Eosinophilic panniculitis

C P Samlaska1, A J de Lorimier, L S Heldman

  • 1Dermatology Service, Tripler Army Medical Center, Honolulu, Hawaii 96859, USA.

Pediatric Dermatology
|March 1, 1995
PubMed
Summary
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Eosinophilic panniculitis, a rare skin condition, presented as rapidly growing scalp nodules in a young boy with atopic dermatitis. These nodules resolved spontaneously, highlighting a unique pediatric case of this disorder.

Area of Science:

  • Dermatology
  • Pediatric Pathology

Background:

  • Eosinophilic panniculitis is an uncommon inflammatory condition affecting subcutaneous fat.
  • Its clinical presentation and etiology remain incompletely understood.
  • Atopic dermatitis is a common chronic inflammatory skin disease in children.

Observation:

  • A 6-year-old Black boy with a history of atopic dermatitis developed rapidly enlarging, asymptomatic subcutaneous scalp nodules.
  • The nodules exhibited spontaneous resolution within 2–3 days.
  • Histopathological examination revealed eosinophilic panniculitis without epidermal changes or vasculitis.

Findings:

  • This case represents the youngest reported patient diagnosed with eosinophilic panniculitis.
  • The distinct presentation of rapidly resolving nodules in a pediatric patient with atopic dermatitis is noteworthy.

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  • Biopsy confirmed eosinophilic infiltration of the panniculus without secondary changes.

    • Implications:

    • This case expands the known age range for eosinophilic panniculitis.
    • It suggests a potential association between atopic dermatitis and this specific panniculitis subtype in children.
    • Further research is warranted to elucidate the pathogenesis and triggers of eosinophilic panniculitis in pediatric populations.