Korean J Dermatol.  2014 Jan;52(1):44-47.

Aseptic Subcutaneous Abscesses without an Underlying Disease

Affiliations
  • 1Department of Dermatology, College of Medicine, Chungnam National University, Daejon, Korea. im1177@hanmail.net

Abstract

Aseptic subcutaneous abscesses are characterized by deep, round lesions histologically consisting of neutrophils, without evidence of microorganisms on culture. Although these are sometimes reported in healthy individuals, most are reported in patients with inflammatory bowel disease, including Crohn's disease and ulcerative colitis. A 79-year-old man without underlying disease presented with multiple skin-colored nodules and masses on his face and extremities 4 years ago. All of the microbiology studies for bacteria and fungi were negative and he did not respond to antibiotics. However, the lesions improved markedly after systemic prednisolone treatment. We diagnosed his lesions as aseptic subcutaneous abscesses. Further studies to evaluate inflammatory bowel disease were negative. Here, we report a case of multiple aseptic subcutaneous abscesses without an underlying disease.

Keyword

Aseptic subcutaneous abscess

MeSH Terms

Abscess*
Aged
Anti-Bacterial Agents
Bacteria
Colitis, Ulcerative
Crohn Disease
Extremities
Fungi
Humans
Inflammatory Bowel Diseases
Neutrophils
Prednisolone
Anti-Bacterial Agents
Prednisolone
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