Subacute nodular migratory panniculitis, a rare presentation of a rare disease: a case report

Dhruv A. Gupta; Pooja Agarwal; Raju G. Chaudhary; Kalgi Baxi

doi:10.18203/issn.2455-4529.IntJResDermatol20232551

Authors

Dhruv A. Gupta Department of Dermatology, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India
Pooja Agarwal Department of Dermatology, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India
Raju G. Chaudhary Department of Dermatology, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India
Kalgi Baxi Department of Dermatology, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20232551

Keywords:

Panniculitis, Subacute nodular migratory panniculitis, Thyroid, Vilanova disease

Abstract

Panniculitis refers to the inflammation of the subcutaneous fat. Subacute nodular migratory panniculitis (Aka Vilanova disease) is a rare type of panniculitis seen predominantly in women. Clinically, it closely resembles erythema nodosum but is often unilateral as opposed to the bilateral involvement in erythema nodosum. Triggering factors include infections, drugs, thyroid disorders, pregnancy, or malignancies. We report a rare case of a 52-year-old female who was a known case of hypothyroidism and presented with sudden onset of red colored painful lesions with raised temperature over both lower limbs. Hematological evaluation was unremarkable except for raised erythrocyte sedimentation rate. Histopathological examination of the lesion showed septal panniculitis with giant cells, suggestive of subacute nodular migratory panniculitis. The patient responded very well to treatment with capsule indomethacin.

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