Presenter: Jackie Levin D.O., Ralph Fiore D.O., and Ellecia Cook D.O.
Dermatology Program: Largo Medical Center
Program Director: Richard Miller
Submitted on: January 6, 2012
CHIEF COMPLAINT: Bumps on back
CLINICAL HISTORY: Patient presented with bumps on his mid to lower back for the past two years. The lesions are painful, draining, and worsening. The lesions were recently incised and drained by primary care provider, and patient was using oral and topical antibiotics. Past medical history significant for hidradenitis suppurativa of the axillae, inguinal, and perianal region in which surgical excision was performed.
PHYSICAL EXAM:
Multiple friable, violaceous nodules located from the lower thoracic to the upper lumbar region
LABORATORY TESTS:
Bacterial culture negative.
DERMATOHISTOPATHOLOGY:
DIFFERENTIAL DIAGNOSIS:
1. Pyogenic Granuloma
2. Neutrophilic Dermatosis
3. Hidradenitis Suppurativa
4. Staphylococcal Furunculosis
5. Cutaneous Crohn’s
