A Case of Lobular Panniculitis in Dermatomyositis Patient

Sung-Hoon Park; Soo-Kyung Kim; Myung Jun Seong; Seong-Kyu Kim; Jae-Bok Park; Jung-Yoon Choi

doi:10.4078/jkra.2008.15.1.54

Journal List > J Korean Rheum Assoc > v.15(1) > 1003647

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Park, Kim, Seong, Kim, Park, and Choi: A Case of Lobular Panniculitis in Dermatomyositis Patient

Original Article

J Korean Rheum Assoc 2008;15(1):54-57.

Published online: 20 March 2008

DOI: https://doi.org/10.4078/jkra.2008.15.1.54

A Case of Lobular Panniculitis in Dermatomyositis Patient

Sung-Hoon Park, M.D., Soo-Kyung Kim, M.D., Myung Jun Seong, M.D., Seong-Kyu Kim, M.D., Jae-Bok Park, M.D.^∗, Jung-Yoon Choi, M.D.

Department of Internal Medicine, Catholic University of Deagu School of Medicine, Deagu, Korea

^∗Department of Pathology, Catholic University of Deagu School of Medicine, Deagu, Korea

Received 7 September 2007 Accepted 20 November 2007

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Panniculitis is an inflammation of subcutaneous fat tissue, and found in variety of clinical setting, like erythema nodosum, lupus or other connective tissue diseases. Panniculitis, as a clinical feature of dermatomyositis, is rare and should be included in one of the sign to be differentiated. We present a 77-year-old female dermatomyositis patient who showed a clinically and histologically evident lobular panniculitis, and successfully treated with oral prednisolone.

Keywords: Dermatomyositis, Panniculitis

References

1. Dalakas MC. Polymyositis, dermatomyositis and inclusion-body myositis. N Engl J Med. 1991; 325:1487–98.

2. Janis JF, Winkelmann RK. Histopathology of the skin in dermatomyositis. A histopathologic study of 55 cases. Arch Dermatol. 1968; 97:640–50.

3. Raimer SS, Solomon AR, Daniels JC. Polymyositis presenting with panniculitis. J Am Acad Dermatol. 1985; 13:366–9.

4. Solans R, Cortes J, Selva A, Garcia-Patos V, Jimenez FJ, Pascual C, et al. Panniculitis: a cutaneous manifestation of dermatomyositis. J Am Acad Dermatol. 2002; 46(Supple):148–50.

5. Bohan A, Peter JB. Polymyositis and dermatomyositis (first of two parts). N Engl J Med. 1975; 292:344–7.

6. Kovacs SO, Kovacs SC. Dermatomyositis. J Am Acad Dermatol. 1998; 39:899–920.

7. Callen JP. Dermatomyositis. Lancet. 2000; 355:53–7.

8. Diaz Cascajo C, Borghi S, Weyers W. Panniculitis: definition of terms and diagnostic strategy. Am J Dermatopathol. 2000; 22:530–49.

9. Requena L, Yus ES. Panniculitis. Part I. Mostly septal panniculitis. J Am Acad Dermatol. 2001; 45:163–83.

10. Requena L, Sanchez Yus E. Panniculitis. Part II. Mostly lobular panniculitis. J Am Acad Dermatol. 2001; 45:325–61.

11. Winkelmann RK. Panniculitis in connective tissue disease. Arch Dermatol. 1983; 119:336–44.

12. Neidenbach PJ, Sahn EE, Helton J. Panniculitis in juvenile dermatomyositis. J Am Acad Dermatol. 1995; 33:305–7.

13. Molnar K, Kemeny L, Korom I, Dobozy A. Panniculitis in dermatomyositis: report of two cases. Br J Dermatol. 1998; 139:161–3.

14. Carneiro S, Alvim G, Resende P, Auxiliadora Jeunon Sousa M, Cuzzi T, Ramos-e-Silva M. Dermatomyositis with panniculitis. Skinmed. 2007; 6:46–7.

15. 김재왕, 김진석. 루푸스 지방층염에 대한 임상 및 피 부병리조직학적 고찰. 대한류마티스학회지. 2006; 13:107–15.

Fig. 1.

Photography shows an erythematous and indurated skin rash on right arm.

Fig. 2.

Ultrasonography of right arm shows a diffuse, increased echogenecity in subcutaneous fat.

Fig. 3.

Patchy infiltration of lymphocytes in the subcutaneous fat tissue is noted (H&E stain, ×100).

TOOLS

Similar articles