Professional paper

Clinical and histological correlation in the diagnosis of lipodermatosclerosis

Nikolina Brkić orcid.org/0000-0003-3712-9580 ; General hospital Vinkovci, Department of transfusion medicine
Božena Coha ; General hospital "Dr. Josip Benčević" Slavonski Brod, Department of internal medicine
Ivana Lukić Milinković orcid.org/0000-0002-4577-1242 ; General hospital Vinkovci, Department of internal medicine
Ivana Vučinić Ljubičić orcid.org/0000-0003-4890-3420 ; General hospital "Dr. Josip Benčević" Slavonski Brod, Department of internal medicine

Abstract

Introduction: Lipodermatosclerosis is a chronic fibrosing panniculitis associated with venous insufficiency. Clinical manifestation refers to the induration and hyperpigmentation of the skin on one or both legs. The characteristic feature of chronic lipodermatosclerosis is a pseudomembranous type of fat necrosis, known by most pathologists. Case report: A female patient was admitted for a diagnostic procedure and treatment of sideropenic anemia. The patient complained about purple subcutaneous painful nodules on the skin in the lower limbs. The pathohistological finding of skin biopsy indicated lipodermatosclerosis. Our patient didn’t accept any suggested therapy. Conclusion: When the diagnosis of lipodermatosclerosis is suspected, it is essential to do a biopsy of the affected skin and a pathohistological analysis, to support the diagnosis, while it can be confused with other panniculitides.

Keywords

lipodermatosclerosis; fat necrosis; panniculitis; venous insufficiency

Hrčak ID:

208267

URI

https://hrcak.srce.hr/208267

Publication date:

6.11.2018.

Article data in other languages: croatian

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