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Silicone Granulomas Treated With Etanercept
Fiona R. Pasternack, MD;
Lindy P. Fox, MD;
Danielle E. Engler, MD
From the Department of Dermatology, Columbia University Medical Center, New York, NY.
Arch Dermatol. 2005;141:13-15.
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REPORT OF CASES
CASE 1
A 47-year-old Hispanic woman was referred for evaluation of "recurrent cellulitis" of her lower extremities. Ten years previously, the patient had received a series of subcutaneous injections of "pure silicone" into the calves and buttocks for cosmetic purposes. These were performed in the home of a nonprofessional in the Dominican Republic. Four years before consultation, the patient developed an abscess of the right buttock that healed with cephalexin. One year before coming to us, the patient sustained minor trauma to the right lower extremity in a motor vehicle crash. No laceration or fracture occurred. Six months later, the patient developed 3 abscesses in the right calf. The lesions were incised and drained by the surgery service, and the patient was empirically started on a combination of intravenous piperacillin and tazobactam. Multiple cultures were negative except for 1, which . . . [Full Text of this Article] CASE 2
THERAPEUTIC CHALLENGE
SOLUTION
COMMENT
AUTHOR INFORMATION
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