Pressure panniculitisM79.8

Author:Prof. Dr. med. Peter Altmeyer

All authors of this article

Last updated on: 29.10.2020

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Synonym(s)

Mechanical panniculitis; Traumatic panniculitis; Traumatic panniculits

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DefinitionThis section has been translated automatically.

The term pressure panniculitis or traumatic panniculitis is defined as painful, lobular, mixed-cell panniculitis following a pressure or impact trauma.

ManifestationThis section has been translated automatically.

Infants, obese women

LocalizationThis section has been translated automatically.

breasts, buttocks; hips

Clinical featuresThis section has been translated automatically.

Painful, coarse, red, yellow-brown or blue subcutaneous nodules or plaques, 1-10 cm in size, circumscribed at the sites of exposure.

HistologyThis section has been translated automatically.

In the fresh stage massive haemorrhages, ruptured adipocytes and pseudofattysts. After a few days development of lipophilic granulation tissue with histiocytes, giant cells and fibroblasts. Later development of fibrosis.

External therapyThis section has been translated automatically.

Apply non-steroidal anti-inflammatory drugs such as indomethacin (e.g. Amuno gel), ibuprofen (e.g. Dolgit cream) or piroxicam (e.g. Felden-top cream) in a thick layer on lesioned skin, hourly compresses with 0.9% saline solution or 2-5% ethanol.

Internal therapyThis section has been translated automatically.

Nonsteroidal anti-inflammatory drugs, e.g. acetylsalicylic acid (e.g. Aspirin) 1.5-2.0 g/day p.o. or diclofenac (e.g. Voltaren Tbl.) initial 150 mg/day peroral.

Progression/forecastThis section has been translated automatically.

The inflammation subsides after 1-8 days.

LiteratureThis section has been translated automatically.

  1. Diaz-Cascajo C et al (2002) Subcutaneous pseudomembranous fat necrosis: new observations. J Cutan catholic 29: 5-10
  2. Fernandez-Lopez E (2002) Membranous fat necrosis: a non-specific histological finding. Eur J Dermatol 12: 82-84
  3. Nagore E (1998) Lipoatrophia semicircularis--a traumatic panniculitis: report of seven cases and review of the literature. J Am Acad Dermatol 39: 879-881
  4. Oh CC et al. (w2014) Traumatic panniculitis in a Chinese woman. Skinmed 12:127-128.
  5. Winkelmann RK, Barber SM (1985) Factitial traumatic panniculitis. J Am Acad Dermatol 13: 988-994

Authors

Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer