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Panniculitis pictures

What is Panniculitis ?

Panniculitis is a term used to describe a group of disorders that result in inflammation of the fat beneath the skin. Even though the causes of panniculitis are diverse, all forms show similar symptoms. A skin biopsy is done to diagnose the condition.

Types of panniculitis

It is difficult to classify the different types of panniculitis, but most forms are generally classified as mostly lobular or mostly septal panniculitis and are dependent on the location and concentration of the microscopic skin inflammation. In addition, the presence of inflammation in the blood vessels of the affected fat, also determine the classification.

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Presented below are the different types of panniculitis:

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  • Mostly septal panniculitis with vasculitis
    • Leukocytoclastic vasculitis
    • Cutaneous polyarteritis nodosa
    • Superficial thrombophlebitis
    • Mostly lobular panniculitis with vasculitis
      • Erythema nodosum leprosum
      • Neutrophilic lobular panniculitis accompanying rheumatoid arthritis
      • Lucio’s phenomenon
      • Erythema induratum of Bazin
      • Nodular vasculitis
      • Crohn disease
      • Mostly septal panniculitis without vasculitis
        • Necrobiosis lipoidica
        • Subcutaneous granuloma annulare
        • Scleroderma, which may sometimes be localized or morphoea
        • Rheumatoid nodule
        • Erythema nodosum
        • Necrobiotic xanthogranuloma
        • Mostly lobular panniculitis without vasculitis
          • Sclerosing panniculitis¬† or lipodermatosclerosis
          • Oxalosis
          • Calciphylaxis
          • Sclerema neonatorum
          • Lupus panniculitis
          • Cold panniculitis
          • Panniculitis in dermatomyositis
          • Alpha-1 antitrypsin deficiency
          • Pancreatic panniculitis
          • Infective panniculitis
          • Subcutaneous sarcoidosis
          • Factitial panniculitis
          • Traumatic panniculitis
          • Subcutaneous fat necrosis of the newborn
          • Post-irradiation pseudosclerodermatous panniculitis
          • Lipoatrophy
          • Post-steroid panniculitis
          • Crystal-storing panniculitis
          • Gout panniculitis
          • Cytophagic histiocytic panniculitis
          • Panniculitis that accompanies halogenodermas [bromides, iodides]

Symptoms of panniculitis

  • The affected skin may be either woody or thick to touch. It may also be tender.
  • The overlying skin may or may not undergo discoloration. The skin may become browner, darker or redder.
  • There may be lumps or raised nodules beneath the affected skin, or the affected area may elicit a plaque or flat, large and thickened skin
  • The effective treatment of panniculitis may leave a temporary or permanent in the skin, in the form of a depression

Treatment of panniculitis

  • The underlying cause of panniculitis, such as drug side effects or infections must be treated
  • Compression hosiery
  • Elevated and rest the area affected by panniculitis
  • Anti-inflammatory drugs to alleviate pain
  • Anti-inflammatory antibiotics and systemic steroids to treat infections and the inflammation
  • Surgical removal of chronic skin lesions

Panniculitis pictures

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