PANNICULITIS

Panniculitis is a term referring to the inflammation of the fatty layer underneath the superficial skin. It is common in women and are usually be seen affecting the lower extremities. It may also spread to the thighs, forearms and chest. This condition causes the skin to feel hardened and to develop painful nodules or dark patches. Panniculitis is likely to clear up within six weeks, but have a high index for recurrence.

Common causes of panniculitis include:

  • Infection (viral or bacterial)
  • Inflammatory disease (ie. Crohn’s disease or ulcerative colitis)
  • Some medications (ie. Oral contraceptives or some groups of antibiotics)
  • Faulty immune system attacking itself

Panniculitis often presents as inflammation of fatty tissues underneath the skin, causing redness, nodule formation and patches on the skin that are often painful or tender to touch. Besides these skin symptoms, other symptoms include:

  • fever
  • fatigue
  • weight loss
  • nausea and vomiting
  • joint pain

Diagnosis

Physician may request the following, in addition to the identification of its clinical features:

  • skin biopsy
  • microbiological culture

 

Recommended Management

  • Treat the underlying cause, if known (e.g. stop a medication, treat an infection).
  • Rest and elevate the affected area.
  • Pain relief using anti-inflammatory medications (ie. NSAIDs)
  • Systemic steroids (oral or injected) to treat inflammation.
  • Surgical removal of persistent or ulcerated lesions.

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