Case Number : Case 275 Posted By: Guest

Phillip McKee - Overseas consultations (Cave Creek, Arizona, USA) Wrote:

It is indeed focal mucinosis. There was no evidence of a systemic disorder although "pretibial myedema" does enter the diferential diagnosis as it may present at sites other than the shin. If this was a facial lesion then certainly cosmetically injected hyaluronic acid would be of importance. The absence of vessels excludes angiomyxoma and Carney's complex.

Submitted on 29/06/2011 12:58
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Eman El-Nabarawy - Cairo University (Egypt) Wrote:

Focal mucinosis.

Submitted on 29/06/2011 10:39
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Marcela Saeb Lima - Instituto Nacional de Ciencia Médicas y Nutrición Salvador Zubirán (Mexico City) Wrote:

focal mucinosis vs foreign mucionous material

Submitted on 29/06/2011 10:19
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Juan Carlos Garcés - Hospital Oncológico / Hospital Luis Vernaza (Guayaquil Ecuador) Wrote:

Focal mucinosis

Submitted on 29/06/2011 09:39
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Rodrigo Restrepo - UPB/CES (Mdlln/Col) Wrote:

Focal mucinosis

Submitted on 29/06/2011 08:45
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Marwa Fawzi - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

I thick it is a reaction to an injection with foreign material e.g hyaluronic acid.

Submitted on 29/06/2011 07:09
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ANDREW DANCKWERTS - NHLS, WITS UNIVERSITY (JOHANNESBURG, RSA) Wrote:

DIFFICULT CASE - I HAVE A FEW DIFFERENTIAL DIAGNOSES: (1). CUTANEOUS MUCINOSIS, POSSIBLY RELATED TO CARNEY'S SYNDROME, OR AN ENDOCRINE DISORDER, SUCH AS HYPOTHYROIDISM; (2). PANNICULITIS, POSSIBLY PHYSICAL / FACTITIAL OR SECONDARY TO THE ADMINISTRATION OF FOREIGN MATERIAL, INDUCING A FORIEGN BODY REACTION.

Submitted on 29/06/2011 05:09
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Mona Abdel Halim - Dermatology Department, Faculty of medicine, Cairo University (Egypt) Wrote:

The frist and second images show ill defined multilobular myxoid masses with some vascular spaces. The myxoid material appears in the 3rd image like hyaluronic acid. Thinking in cutaneous myxoma which may present as solitary lesion or as multiple lesions associated with Carnay's complex. The vascular spaces are not that much extensive to be the superficial angiomyxoma variant of cutaneous myxoma but still it could be a possibility.

Submitted on 29/06/2011 05:01
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