Acquired Partial Lipodystrophy (APL) is a skin condition in which there is markedly reduced subcutaneous fat and I occasionally encounter this skin disorder in both my The Woodlands dermatology and Conroe dermatology offices.  APL is also called Barraquer-Simons syndrome and was the most common type of lipodystrophy prior to the introduction of HAART for HIV […]

Gouty Panniculitis is a skin disorder that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Uric acid crystals deposit in the subcutaneous tissue in patients who have gout resulting in inflammation and pain.  Treatment involves the lowering of the uric acid levels through the use of colchicine or allopurinol.

Cytophagic Histiocytic Panniculitis (CHP) is a type of panniculitis that I only rarely encounter in both my The Woodlands dermatology and Conroe dermatology offices.  CHP clinically presents as diffuse indurated red nodules which may have a bruise like appearance and can ulcerate.  Many patients with CHP are febrile and develop systemic complications such as hepatosplenomegaly […]

Alpha 1 Antitrypsin Deficiency Panniculitis is a rare form of panniculitis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Alpha 1 Antitrypsin is an enzyme that normally circulates throughout the body and functions as an anti-protease enzyme.  Patients who have a genetic deficiency in Alpha 1 Antitrypsin do not have the […]

Pancreatic Panniculitis is a skin condition that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  It arises most commonly from either pancreatitis or pancreatic carcinoma.  Other causes of Pancreatic Panniculitis are pseudocysts, anatomic pancreatic abnormalities, or medication induced pancreatitis.  The most common type of pancreatic cancer causing Pancreatic Panniculitis is […]

Sclerosing Lipogranuloma is a type of panniculitis that I encounter in both my The Woodlands dermatology and Conroe dermatology offices due to a granulomatous reaction to a foreign body implanted in the skin.  Typically, the foreign body is injected for cosmetic purposes such as silicone or mineral oil.  The formation of a Sclerosing Lipogranuloma may […]

Traumatic Panniculitis is a common skin condition that is encountered in both my The Woodlands dermatology and Conroe dermatology offices.  Traumatic panniculitis occurs when the skin experiences trauma resulting in fat necrosis.  The most common anatomic area for traumatic panniculitis is the breasts of women.  Clinically, the skin lesion that manifests in traumatic panniculitis is […]

Post Steroid Panniculitis is a rare form of panniculitis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Post Steroid Panniculitis typically occurs in children who have taken very high doses of systemic steroids and then undergo rapid withdrawal of these steroids.  Usually within a month tender indurated nodules arise in […]

Cold Panniculitis is a common skin condition that I encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Cold Panniculitis is mostly seen in infants and young children.  Clinically, red indurated plaques develop within a few days on areas of the skin that have experienced a very cold object such as an ice […]

Subacute Fat Necrosis of the Newborn(SFN) is a rare type of panniculitis that I almost never encounter in my The Woodlands dermatology and Conroe dermatology offices.  Typically, SFN occurs in the first month of life and most cases usually appear in the first week.  Clinically, the skin develops painful red nodules on the back, buttocks, […]

Sclerema Neonatorum is a rare type of physical panniculitis that occurs in very ill premature infants.  The skin of these infants develops an induration or hardening in the first few days of life.  The hardening begins on the lower extremities or buttocks and rapidly progresses to involve the rest of the body.  Typically, the palms […]

Nodular Vasculitis is a type of panniculitis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Nodular Vasculitis is a lobular panniculitis and is identical both clinically and histologically to another type of panniculitis called erythema induratum.  The only difference between the two skin diseases is that erythema induratum is […]

Panniculitis – Pancreatic Panniculitis Pancreatic Panniculitis is a rare form of panniculitis that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices.  It occurs in 2-3% of all patients with pancreatitis however some patients with this skin disease may only have subclinical pancreatitis or elevated levels of circulating serum pancreatic enzymes amylase […]

Lipodermatosclerosis is a very common form of lobular panniculitis that I encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Lipodermatosclerosis is a result of venous insufficiency in the lower legs typically occuring in obese patients.  The skin below the knees becomes red, indurated and very painful.  As the disease progresses, the legs […]

Erythema Nodosum, also called septal panniculitis, is the most common form of panniculitis that I encounter in both my The Woodlands dermatology and Conroe dermatology offices.  Although, Erythema Nodosum can occur at any age and sex, it is most often seen in young adult females.  Clinically, Erythema Nodosum appears as a spontaneous eruption of red/brown […]

Panniculitis, otherwise known as inflammation of the subcutaneous tissue, which is the third layer of the skin and commonly referred to as the fat layer, has many different etiologies.  However, most types of panniculitis present with a similar clinical appearance of an indurated, tender nodule in the skin.  Typically, a skin biopsy is needed to delineate the etiology […]