Fat necrosis (FN) is an uncommon etiology of panniculitis. It is mainly caused by trauma and may be associated to other conditions such as pancreatic disease. We report an interesting case of subcutaneous FN caused by intramuscular injections of cefazolin and meglumine antimoniate in a 38-year-old female patient.

Clinical image:A 36-year-old woman presented with an asymptomatic eruption of multiple pink umbillicated papules in the left part of trunk and under the umbilical area. There was no history of systemic or skin disease, use of local or systemic immunosuppressive drugs, or suspect sexual contact. She reported similar eruption in her child. Dermatologic examination revealed multiple linear shiny papules in the left part of trunk measuring approximately 4 to 20 mm. (Fig. 1a-b). Dermoscopy revealed a polylobular, pinkish-white, amorphous structure in the centre with a surrounding crown of vessels that did not cross the centre of the lobule (Fig. 2).The diagnosis of MC was evoked. The patient was treated by potassium hydroxide 5% twice resulting in complete healing in 2 weeks.Our case illustrated an atypical presentation of MC in immunocompetent adult. Although recognized nearly 200 years ago, MC still causes a substantial health-care burden and adversely affects quality of life.Clinically it appears like shiny papules with a diameter between 2 and 5 mm. The central umbilication is pathognomonic and its localization concern commonly the face, trunk, and extremities. 1Although easily diagnosed, MC may present as a single lesion or as several small, inflamed lesions of difficult diagnosis. Atypical presentations may occur in immunodepression condition, eczematous or abscessed and sometimes refractory to the usual treatment.2To the best of our knowledge, we report the third case of linear MC. In our patient, the diagnostic was evocated based on the presence of similar case in the family, clinical characteristics of the lesions and confirmed by the typical dermoscopic features.

AL represents superficial lymphatic dilatation caused by different processes. It is a consequence of lymphatic damage by an external cause; leading to obstruction of local lymphatic drainage.1 We report a case of AL of the breast in a 45-year-old woman mimicking warts.

Malignant melanoma presenting as an inflammatory skin metastasis has been described but is an exceedingly rare phenomenon. We report a case of inflammatory metastasis of cutaneous melanoma (CM)

We report an atypical presentation of a current disease to highlight the importance of making a correct diagnosis of scabies surrepticius in front of any itchy dermatosis especially in elderly patients. The misdiagnosis of this disease results in extensive infestation, especially with the use of corticosteroids.

A verrucuous tumor of the legA 56-year-old woman, with no medical history, presented with a chronic nodular lesion of the left leg, of two year’s duration. There were no associated systemic symptoms. Physical examination revealed a warty mass with a keratotic surface of measured 2 cm. (Figure 1)A surgical excision was performed. Histological examination showed hyperkeratosis, parakeratosis, papillomatosis and cystic invaginations extending downwards from the epidermis. Two different epithelial cell layers consisting of outer small cuboidal cells and inner columnar cells were present. The papillary projections and dermis had also dense infiltration of plasma cells. (Figure 2) Based on these findings, a diagnosis of Syringocystadenoma Papilliferum (SCAP) of the leg was established.SCAP is a benign adnexal tumor. Most of the cases present with solitary lesion in the head and neck region at birth or in early childhood.1 In fact, only two cases of SCAP on lower leg have been reported in literature.1,2 It is mainly, associated with oragnoid nevus. Histogenesis of this tumor remains controversial.2 Histopathologically, there is no difference between SCAP on different locations.1Despite its rarity, we must consider it in the differential diagnosis of any longstanding nodular lesion with crusted surface. Surgical excision is curative.

Title: Multiple nodules in the scrotal wall