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Tinea and Erysipelas carcinomatosum


European Journal of Dermatology. Volume 11, Number 6, 593-4, November - December 2001, Votre diagnostic !

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Author(s) : M. LUFTL, G. SCHULER, F. KIESEWETTER

Summary : Figures 1 and 2 show skin changes in the breasts of two patients. A 74-year-old patient presented a slightly scaly eythematous lesion on and around the left areola that had developed several weeks previously (Fig. 1). The lesion enlarged despite a topical glucocorticoid treatment and the patient was referred to us. The second patient initially turned to a plastic surgeon for breast reduction. The surgeon refused the operation, interpreting the skin changes as erysipelas (Fig. 2) and sent the patient to our department for antibiotic therapy. The 44-year-old patient remembered having developed a persistently expanding hot erythema on the right lateral breast with the aspect of peau d'orange for 8 weeks. She reported feeling heaviness and tension, fever or lymph node swelling were not present.

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