ID Design 2012/DOOEL Skopje, Republic of
Open Access Macedonian Journal of Medical Sciences.
Letter to the Editor
Anastasiya Atanasova Chokoeva1,
Policlinic for Dermatology and Dermatologic Surgery, Sofia, Bulgaria; 2Medical
Institute of Ministry of Interior (MVR-Sofia), Department of Dermatology,
Venereology and Dermatologic Surgery, Sofia, Bulgaria
A 28-year-old male patient, presented with a one-week history of pain and
itching on the skin of the left upper leg. Erythematous indurated, warm and
painful on palpation, subcutaneous plaques and nodules were clinically
observed, affecting the skin of the left upper leg, within a recent
black-wolf tattoo. The diagnosis of traumatic panniculitis with superposed
bacterial infection, provoked by a wolf tattoo was made. The patient
underwent 7-days systemic antibiotic treatment regimen and topical
application of iodine povidone unguent under occlusion for 7 days.
Significant alleviation of the subjective complaints was achieved within the
first week, with a total clinical resolution of the symptoms. The role of
the procedure as a source of trauma for subcutaneous inflammation (traumatic
panniculitis) and the contamination of the equipment or the staff (infective
panniculitis) in simultaneously triggering of the pathogenetic chain of the
reported Wolf’s panniculitis could be present.
Citation: Chokoeva AA, Tchernev G. Wolf’s
Panniculitis. Open Access Maced J Med Sci. https://doi.org/10.3889/oamjms.2017.069
Keywords: wolfs; panniculitis; tattoo; complications; infection.
*Correspondence: Georgi Tchernev. Medical Institute of Ministry of
Interior (MVR-Sofia), Department of Dermatology, Venereology and
Dermatologic Surgery, Sofia, Bulgaria. E-mail: firstname.lastname@example.org
Received: 13-Apr-2017; Revised: 27-Apr-2017; Accepted: 16-May-2017; Online
Copyright: © 2017 Anastasiya Atanasova Chokoeva, Georgi Tchernev. This is an open-access article distributed under the
terms of the Creative Commons Attribution-NonCommercial 4.0 International
License (CC BY-NC 4.0).
Funding: This research did not receive any financial support.
Competing Interests: Publication of this paper has been supported by
Roche Macedonia DOOEL Skopje.
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- Chokoeva AA
- Tchernev G