Campos Luana Moraes, Miot Luciane Donida Bartoli, Marques Mariângela Esther Alencar, Miot Hélio Amante
Department of Dermatology and Radiotherapy, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brazil.
Service of Pathology, Departamento de Patologia, Faculdade de Medicina, Universidade Estadual Paulista, Botucatu, SP, Brazil.
An Bras Dermatol. 2019 Nov-Dec;94(6):754-756. doi: 10.1016/j.abd.2019.02.003. Epub 2019 Oct 24.
A 28-year-old white female patient presented with multiple erythematous-to-violaceous, painful, suppurative nodules on the buttocks and thighs that appeared after two weeks of mesotherapy with deoxycholate, caffeine, sunflower liposomes, and sinetrol for localized fat. She was treated for atypical mycobacteriosis, but with no satisfactory response after antibiotic therapy. Bacterial, mycobacterial, and fungal culture were all negative. Histopathologic examination of the biopsy showed noninfectious suppurative panniculitis. It resolved after treatment with methotrexate, prednisone, and hydroxychloroquine. This report highlights the rarity of this complication, the importance of its early recognition, and differentiation with atypical fast growing mycobacterioses.
一名28岁的白人女性患者，在接受脱氧胆酸盐、咖啡因、葵花籽脂质体和sinetrol局部脂肪溶脂疗法两周后，臀部和大腿出现多个从红斑到紫蓝色、疼痛的化脓性结节。她接受了非典型分枝杆菌病的治疗，但抗生素治疗后效果不佳。细菌、分枝杆菌和真菌培养均为阴性。活检的组织病理学检查显示为非感染性化脓性脂膜炎。经甲氨蝶呤、泼尼松和羟氯喹治疗后病情缓解。本报告强调了这种并发症的罕见性、早期识别的重要性以及与非典型快速生长分枝杆菌病的鉴别。
