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Contiguous inflammation of the skin


European Journal of Dermatology. Volume 9, Number 1, 48-50, January - February 1999, Cas cliniques

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Author(s) : Peter HELMBOLD, Astrid KAUFHOLD, Bernd HEGEMANN, Wolfgang Ch. MARSCH

Summary : Contiguous inflammation of the skin (CIS) is a condition comprising localized inflammatory skin reactions which are secondary to a source of infection originating in deeper anatomical structures (bacterial or sterile abscesses, neoplasm-associated inflammations, foreign bodies, osteomyelitis, sinusitis, etc.). The main clinical symptom of contiguous inflammation of the skin is an asymmetrical, localized and painful erythema in combination with different case-specific symptoms. Four patients are presented below, who developed CIS caused by an ethmoidal carcinoma with superinfection, a postoperative mediastinal abscess, an odontogenic staphylococcal abscess and a purulent sinusitis maxillaris. The purpose of this paper is to bring attention to this condition and to offer guidelines for a rapid diagnosis of its underlying, potentially life-threatening, causal inflammatory focus.

Keywords : contiguous inflammation of the skin, ethmoidal carcinoma, mediastinal abscess, odontogenic abscess, sinusitis maxillaris.

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