Another Question

[Soul]

Hey guys...there are many types of panniculitis--panniculitis with systemic (throughout the body) disease and panniculitis without systemic disease. You guys are talking about the former one, but the answer here is later one, which is also k/a "Cold Panniculitis (CP)". CP results from cold injury to adipose tissue. The presentation is acute-(hours), and may/or may not have fever. Diagnosis can be made clinically,biopsy is reserved for diagnostic problem cases. No treatment is required because CP is a self-limiting disorder.. The prognosis is excellent--resolve without adverse affects. Unnecessary biopsies, misdiagnoses, or treatments cause medical or psychological harm. I hope you guys are clear now.

[Vishal]

you r right SOUL.....there are many kinds of panniculitis.....lobular, glandular, mesenteric, cold panniculitis.........even subcutaneous nodule is a type of panniculitis. these different types of panniculitis have different characteristics, onset time, complication, treatment and prognosis.That's why oak and demon-dissector are wrong,...may be they haven't heard about cold panniculitis.

[Oak]

Originally Posted by Vishal

That's why oak and demon-dissector are wrong,...may be they haven't heard about cold panniculitis.

hey Vishal if you think so then why don't you refute or give your opinion as I gave for the panniculitis, & refute my explanation in this thread
http://www.xenomed.com/forums/12205-post8.html

Why don't you go through this literaures:
Panniculitis
Panniculitis-1
cold panniculitis -eMedicine
Lupus panniculitis (lupus profundus)

I am not that kinda guy who just poke the nose I have the basis to refute the diagnosis if you agree on it give the explanation but don't say blah blah

Originally Posted by Soul

Hey guys...there are many types of panniculitis.

Yh there are different type of panniculitis, my point was history didn't correlated with the examination finding.

As you said

Originally Posted by Soul

pt. had been in his normal state of health until 1hr ago,when he developed rt. cheek swelling at a picnic.

But Cold Panniculitis take usually 48 hours (6-72) hours to develop the clinical symptoms, according to the history presented by the child is just an hour ago, went to a picnic and haven't mention what kind of location was there whether cold or not ????

Yes, Cold Panniculitis can be diagnosed clinically but without clear picture of history how can we say when diagnosis doesn't correlate with the history here is the detail: cold panniculitis -eMedicine

Guys, its a healthy discussion, no personal feeling right.

[Soul]

Sorry OAK, I don't have to say anything---keep discussing. Hope you guys will continue giving valuable informations in this site. I am now engaged in some research stuffs, so wont be able to visit this site for few months. I enjoyed my few days in xenomed, learnt many things n tried to share my ideas. Hope this forum--nepalese medical forum-- will continue giving valuable info to the medical professionals. Miss u all....bye n good luck

[CSF]

Hey Soul we will mis you yarr, best of luck for your research. hope to see you soon after you finish your research.

[Oak]

Soul, please do visit us regularly, you inspired me to start my Clinical MCQs section. I will learn a lot cz I learnt a lot from your post.

and best of luck for your research, hope you will be back soon.