Cold panniculitis: Difference between revisions
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* | ==Background== | ||
* | *Also known as Haxthausen disease | ||
*Resolution may result in adipose fibrosis | *Exposure to cold temperatures → inflammation and mild necrosis of subcutaneous fat tissue | ||
** | *Infants are most susceptible due to higher percentage of saturated fatty acids in newborn fat tissue<ref name="Bolotin">Bolotin D, et al. Cold panniculitis following ice therapy for cardiac arrhythmia. Pediatr Dermatol. 2011 Mar-Apr;28(2):192-4.</ref> | ||
**Usually caused by popsicles, exposure to cold environments (e.g. on the face and hands which are often uncovered), and ice packs (i.e. used to control fever and pain after vaccination)<ref name="Cortes" /> | |||
**Also seen frequently in equestrians (esp young women) riding in cold temperatures<ref name="Cortes">Quesada-Cortés A, et al. Cold panniculitis. Dermatol Clin. 2008 Oct;26(4):485-9</ref> | |||
==Clinical Features== | |||
*Erythematous, indurated, tender, firm [[rash|plaques or nodules]] on areas exposed to cold<ref name="Cortes" /> | |||
*Lesions develop 24-72 hours after exposure and resolve within 2 weeks<ref name="Lipke">Lipke MM, Cutlan JE, Smith AC. Cold panniculitis: delayed onset in an adult. Cutis. 2015 Jan;95(1):21-4.</ref> | |||
*Resolution may result in adipose fibrosis with cosmetic defects (especially if area is not protected from further cold exposure) | |||
==Differential Diagnosis== | |||
{{Cold injuries DDX}} | |||
==Evaluation== | |||
*Clinical diagnosis | |||
*Reproduction of lesions approximately half a day after application of an ice cube to the volar forearm for 2 minutes may help with diagnosis<ref name="Cortes" /><ref name="Lipke" /> | |||
==Management== | |||
*Protect affected area from further cold exposure | |||
*Otherwise, no specific treatment (lesions resolve spontaneously) | |||
==Disposition== | |||
*Discharge | |||
==See Also== | ==See Also== | ||
[[Cold | *[[Cold injuries]] | ||
==References== | |||
<references/> | |||
[[Category: | [[Category:Environmental]] | ||
Latest revision as of 17:20, 28 September 2019
Background
- Also known as Haxthausen disease
- Exposure to cold temperatures → inflammation and mild necrosis of subcutaneous fat tissue
- Infants are most susceptible due to higher percentage of saturated fatty acids in newborn fat tissue[1]
Clinical Features
- Erythematous, indurated, tender, firm plaques or nodules on areas exposed to cold[2]
- Lesions develop 24-72 hours after exposure and resolve within 2 weeks[3]
- Resolution may result in adipose fibrosis with cosmetic defects (especially if area is not protected from further cold exposure)
Differential Diagnosis
Cold injuries
- Generalized
- Freezing
- Non-freezing
Evaluation
- Clinical diagnosis
- Reproduction of lesions approximately half a day after application of an ice cube to the volar forearm for 2 minutes may help with diagnosis[2][3]
Management
- Protect affected area from further cold exposure
- Otherwise, no specific treatment (lesions resolve spontaneously)
Disposition
- Discharge
See Also
References
- ↑ Bolotin D, et al. Cold panniculitis following ice therapy for cardiac arrhythmia. Pediatr Dermatol. 2011 Mar-Apr;28(2):192-4.
- ↑ 2.0 2.1 2.2 2.3 Quesada-Cortés A, et al. Cold panniculitis. Dermatol Clin. 2008 Oct;26(4):485-9
- ↑ 3.0 3.1 Lipke MM, Cutlan JE, Smith AC. Cold panniculitis: delayed onset in an adult. Cutis. 2015 Jan;95(1):21-4.