Dermatologic Clinics
Volume 26, Issue 4 , Pages 485-489, October 2008

Cold Panniculitis

Department of Dermatology, Hospital Universitario “La Paz,” Universidad Autónoma, Paseo La Castellana, No. 261, 28046 Madrid, Spain

Cold panniculitis has been described in children and young women following cold exposure. Histopathologically, cold panniculitis shows a mostly lobular panniculitis, which consists of an infiltrate of lymphocytes and histiocytes in the fat lobules. Usually, the dermis shows a superficial and deep perivascular infiltrate mostly composed of lymphocytes, with no vasculitis. Inflammation is most intense at the dermal-subcutaneous junction. Differential diagnosis of cold panniculitis should be established with subcutaneous fat necrosis of the newborn, sclerema neonatorum, poststeroid panniculitis, chilblains, and frostbites.

Keywords: Cold panniculitis, Equestrian panniculitis, Popsicle panniculitis

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PII: S0733-8635(08)00047-8

doi:10.1016/j.det.2008.05.015

Dermatologic Clinics
Volume 26, Issue 4 , Pages 485-489, October 2008