Dermatology clinic

Tender skin plaques exuding yellow oil

Steven Kossard

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Abstract

A man presents with tender skin plaques exuding a yellow oily discharge. What is the cause of this and how can it be treated?

Article Extract

A 47-year-old man was admitted to hospital with a six-week history of multiple tender plaques localised to his upper back, abdomen, buttocks and thighs. The plaques exuded a yellow, viscous, oily discharge (Figure 1). He had developed a fever and malaise. A deep skin biopsy revealed interstitial neutrophilia undergoing leucocytoclasis between the collagen bundles in the dermis. There was intense oedema with a mixed inflammatory infiltrate within the deeper dermis and an associated separation of the underlying fat outlined by a granulomatous reaction (Figure 2).

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