Mycobacterium chelonae infection presenting as recurrent cutaneous and subcutaneous nodules - a presentation previously diagnosed as Weber Christian disease

Emanual Michael Maverakis, Yong He, Forum B. Patel, Sarah Fitzmaurice, Maxwell A Fung

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Although the dermatologic community rarely uses "Weber-Christian Disease" as a diagnosis, it still appears in the internal medicine literature. Herein we present a patient with recurrent cutaneous and subcutaneous nodules who was initially treated with aggressive immunosupression for a presumptive diagnosis of Weber-Christian Disease. After more than a decade the patient was diagnosed with cutaneous Mycobacterium chelonea. This case is an excellent example of the difficulty in diagnosing mycobacterial infections and underscores the importance of having a high suspicion for infectious etiologies for unresponsive cutaneous eruptions in patients on immunosuppressive medications.

Original languageEnglish (US)
JournalDermatology Online Journal
Volume20
Issue number6
StatePublished - 2014

Fingerprint

Nodular Nonsuppurative Panniculitis
Mycobacterium chelonae
Mycobacterium Infections
Skin
Medicine in Literature
Mycobacterium
Immunosuppressive Agents
Internal Medicine
Infection

Keywords

  • Iatrogenic
  • Immunosuppression
  • Mycobacterium chelonae
  • Panniculitis
  • Weber-Christian

ASJC Scopus subject areas

  • Dermatology
  • Medicine(all)

Cite this

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title = "Mycobacterium chelonae infection presenting as recurrent cutaneous and subcutaneous nodules - a presentation previously diagnosed as Weber Christian disease",
abstract = "Although the dermatologic community rarely uses {"}Weber-Christian Disease{"} as a diagnosis, it still appears in the internal medicine literature. Herein we present a patient with recurrent cutaneous and subcutaneous nodules who was initially treated with aggressive immunosupression for a presumptive diagnosis of Weber-Christian Disease. After more than a decade the patient was diagnosed with cutaneous Mycobacterium chelonea. This case is an excellent example of the difficulty in diagnosing mycobacterial infections and underscores the importance of having a high suspicion for infectious etiologies for unresponsive cutaneous eruptions in patients on immunosuppressive medications.",
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AU - He, Yong

AU - Patel, Forum B.

AU - Fitzmaurice, Sarah

AU - Fung, Maxwell A

PY - 2014

Y1 - 2014

N2 - Although the dermatologic community rarely uses "Weber-Christian Disease" as a diagnosis, it still appears in the internal medicine literature. Herein we present a patient with recurrent cutaneous and subcutaneous nodules who was initially treated with aggressive immunosupression for a presumptive diagnosis of Weber-Christian Disease. After more than a decade the patient was diagnosed with cutaneous Mycobacterium chelonea. This case is an excellent example of the difficulty in diagnosing mycobacterial infections and underscores the importance of having a high suspicion for infectious etiologies for unresponsive cutaneous eruptions in patients on immunosuppressive medications.

AB - Although the dermatologic community rarely uses "Weber-Christian Disease" as a diagnosis, it still appears in the internal medicine literature. Herein we present a patient with recurrent cutaneous and subcutaneous nodules who was initially treated with aggressive immunosupression for a presumptive diagnosis of Weber-Christian Disease. After more than a decade the patient was diagnosed with cutaneous Mycobacterium chelonea. This case is an excellent example of the difficulty in diagnosing mycobacterial infections and underscores the importance of having a high suspicion for infectious etiologies for unresponsive cutaneous eruptions in patients on immunosuppressive medications.

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KW - Immunosuppression

KW - Mycobacterium chelonae

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