ABSTRACT
The presence of a subcutaneous foreign body may not be easily suspected after the initial history and exploration of the patient. The authors report a 54-year-old male who came to the Department of Dermatology, Hospital Universitario de Fuenlabrada, Madrid, Spain with a firm plaque, fixed to deep structures, which showed several draining orifices over the costal grid. After several tests, the authors performed an ultrasonography that revealed the presence of a fistula from a foreign body secondary to a previously untreated costal fracture that occurred several years before. The authors believe ultrasonography is a readily available and useful tool that may help dermatologists in daily clinical practice, with the advantage of being a noninvasive test.
Subject(s)
Foreign Bodies/diagnostic imaging , Thorax , Ultrasonography , Humans , Male , Middle Aged , Rib Fractures/blood , Rib Fractures/complicationsSubject(s)
Lymphangitis/complications , Lymphangitis/pathology , Lymphatic Vessels/pathology , Parotid Neoplasms/complications , Parotid Neoplasms/pathology , Aged , Female , Humans , Immunohistochemistry , Lymph Nodes/pathology , Lymphangitis/metabolism , Lymphoproliferative Disorders/complications , Neck/pathology , Neoplasm Invasiveness , Parotid Neoplasms/metabolism , Skin/pathologyABSTRACT
Epidermolysis bullosa simplex with mottled hyperpigmentation (EBS-MP) is an uncommon subtype of EBS. Its clinical features depend on the age of diagnosis, and clinical variations have been described even within family members. We present six cases from two unrelated Spanish families each with several affected members with EBS-MP and review the clinical and genetic findings in all reported patients. We highlight the changing clinical features of the disease throughout life.
