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Erosive pustular dermatosis of the leg mimicking lower limb cellulitis
Author(s) -
Zhou Z.,
Zhang Z. K.,
Liu T. H.
Publication year - 2015
Publication title -
clinical and experimental dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.587
H-Index - 78
eISSN - 1365-2230
pISSN - 0307-6938
DOI - 10.1111/ced.12512
Subject(s) - medicine , cellulitis , erythema , dermatology , pustulosis , betamethasone , infiltration (hvac) , surgery , osteomyelitis , osteitis , physics , thermodynamics
Summary Erosive pustular dermatosis ( EPD ) of the leg is an unusual form of amicrobial pustulosis, which typically affects elderly patients with chronic venous insufficiency. We report a patient who presented with painful erythema, crusted erosions and pustules on her right lower leg. Histology showed a dermal infiltration made up predominantly of neutrophils. Bacteria were isolated from the lesions. The condition was initially diagnosed as cellulitis, but antibiotic treatment was unsuccessful. After the correct diagnosis was made, complete resolution was obtained with betamethasone 0.05%.