Subject(s)
Braces , Nails, Ingrown/therapy , Adolescent , Child , Equipment Design , Female , Humans , Male , Treatment OutcomeSubject(s)
Mandibular Neoplasms/pathology , Osteosarcoma/diagnosis , Osteosarcoma/secondary , Paronychia/diagnosis , Skin Neoplasms/diagnosis , Skin Neoplasms/secondary , Diagnosis, Differential , Fatal Outcome , Female , Humans , Middle Aged , Osteosarcoma/pathology , Paronychia/drug therapy , Skin Neoplasms/pathology , ToesABSTRACT
Thermal sulfur baths are a form of balneotherapy promoted in many cultures for improvement of skin conditions; however, certain uncommon skin problems may occur after bathing in hot sulfur springs. We report the case of a 65-year-old man who presented with multiple confluent, punched-out, round ulcers with peripheral erythema on the thighs and shins after bathing in a hot sulfur spring. Histopathologic examination revealed homogeneous coagulation necrosis of the epidermis and papillary dermis. Tissue cultures showed no evidence of a microbial infection. The histopathologic findings and clinical course were consistent with a superficial second-degree burn. When patients present with these findings, sulfur spring dermatitis should be considered in the differential diagnosis. Moreover, the patient's clinical history is crucial for correct diagnosis.
