| Exaggerated insect bite reaction exacerbated by a pyogenic infection in a patient with chronic lymphocytic leukaemia. | |
| | |
MedLine Citation:
|
PMID: 17680967 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
A 69-year-old woman with chronic lymphocytic leukaemia presented with an 18-month history of pruritic, tender, erythematous plaques. The recurrent lesions simulated insect bites and cellulitis, but failed to respond to appropriate treatments. A recent severe flare was associated with markedly elevated inflammatory markers and swelling of the left leg. The swelling settled rapidly with ibuprofen, leaving cellulitis around a small ulcer infected with Staphylococcus aureus and Streptococcus pyogenes. The cellulitis responded to oral flucloxacillin. Subsequent multiple small exaggerated insect bite reaction lesions settled with oral prednisolone. Eosinophilic cellulitis (Wells' syndrome) was considered unlikely based on the lack of a morphoea-like resolution phase, histological lack of flame figures and presence of vasculitis; however, the distinction is probably artificial. |
| | |
Authors:
|
Patrick Walker; Dorota Long; Craig James; Gillian Marshman |
Related Documents
:
|
8486467 - Fibrin cuff lysis in chronic venous ulcers treated with a hydrocolloid dressing. 22314537 - Ajoene, a sulfur-rich molecule from garlic, inhibits genes controlled by quorum sensing. 15297777 - Gallbladder involvement of henoch-schönlein purpura mimicking acute acalculous cholecy... 167207 - Fatal pox infection in a rough-legged hawk. 1816197 - Enoxacin therapy for severe pleuro-pulmonary infections. 11093627 - Elimination of guttural pouch infection and inflammation in asymptomatic carriers of st... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: The Australasian journal of dermatology Volume: 48 ISSN: 0004-8380 ISO Abbreviation: Australas. J. Dermatol. Publication Date: 2007 Aug |
Date Detail:
|
Created Date: 2007-08-07 Completed Date: 2008-08-07 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0135232 Medline TA: Australas J Dermatol Country: Australia |
Other Details:
|
Languages: eng Pagination: 165-9 Citation Subset: IM |
Affiliation:
|
Department of Dermatology, Flinders Medical Centre, Bedford Park, SA 5042, Australia. patrickwalk@gmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Cellulitis / complications, pathology* Diagnosis, Differential Eosinophilia / diagnosis Erythema / etiology Female Granuloma, Pyogenic / drug therapy, etiology*, pathology Humans Insect Bites and Stings / complications*, pathology Leg / pathology Leukemia, Lymphocytic, Chronic, B-Cell / complications* Skin / pathology* Syndrome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Sweet's syndrome in an Australian hospital: a retrospective analysis.
Next Document: Genetic analysis of a family with hereditary glomuvenous malformations.