Gómez SLV, Belatti AL, Valdivia MDC, Capellato N, Rodríguez CMF, Galimberti RL

Language: Spanish
References: 15
Page: 7-11
PDF size: 699.59 Kb.

ABSTRACT

Lipodermatosclerosis is the most frequent panniculitis associated with chronic venous disease and sometimes triggered by minor trauma in the lower limbs. It has two clinical stages: an acute phase, with an indurated erythema, heat and local pain; and a chronic phase where marked sclerosis and fibrosis occurs in dermis and subcutaneous tissue. The diagnosis of this disease is clinical, but the acute phase generates higher diagnostic difficulty because it is usually interpreted as an infectious process. The absence of fever, systemic symptoms and lack of response to different antibiotics schemes rule out the presence of infections. This is important because the proper diagnosis allows early onset of elastic compression therapy and various physiotherapy techniques that constitute the mainstay of treatment. We report six adult patients with acute lipodermatosclerosis initially diagnosed as cellulitis that received different antibiotic schemes, without resolution of the clinical manifestations.

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