Panniculitides of particular interest to the rheumatologist

• Published in: Advances in rheumatology (London, England) England), 2019-08, Vol.59 (1), p.35-35, Article 35
• Main Authors: Morita, Thâmara Cristiane Alves Batista, Trés, Gabriela Franco Sturzeneker, García, Maria Salomé Cajas, Halpern, Ilana, Criado, Paulo Ricardo, de Carvalho, Jozelio Freire
• Format: Article
• Language: English
• Subjects: Behcet Syndrome - pathology; Biopsy; Biopsy - methods; Chlamydia; Collagen; Cutaneous polyarteritis nodosa; Cytomegalovirus; Disease; Erythema; Erythema Induratum - pathology; Erythema nodosum; Erythema Nodosum - pathology; Etanercept - adverse effects; Granulomas; Hepatitis; Humans; Immunosuppressive Agents - adverse effects; Infections; Infections - pathology; Infective panniculitis; Inflammatory bowel disease; Inflammatory diseases; Lupus panniculitis; Neutrophils; Nonsteroidal anti-inflammatory drugs; Panniculitis; Panniculitis - classification; Panniculitis - pathology; Panniculitis, Lupus Erythematosus - pathology; Plaques; Polyarteritis Nodosa - pathology; Rheumatoid arthritis; Rheumatologists; RHEUMATOLOGY; Sarcoidosis; Scleroderma; Subcutaneous Fat - pathology; Subcutaneous tissue; Subcutaneous Tissue - pathology; Tropical diseases; Tuberculosis; Vasculitis - pathology
• ISSN: 2523-3106; 2523-3106
• DOI: 10.1186/s42358-019-0077-5

The panniculitides remain as one of the most challenging areas for clinicians, as they comprise a heterogeneous group of inflammatory diseases involving the subcutaneous fat with potentially-shared clinical and histopathological features. Clinically, most panniculitides present as red edematous nodules or plaques. Therefore, in addition to a detailed clinical history, a large scalpel biopsy of a recent-stage lesion with adequate representation of the subcutaneous tissue is essential to specific diagnosis and appropriate clinical management. Herein we review the panniculitides of particular interest to the rheumatologist.