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ID Design 2012/DOOEL Skopje, Republic of Macedonia

Open Access Macedonian Journal of Medical Sciences.


eISSN: 1857-9655

Letter to the Editor




Wolf’s Panniculitis


Anastasiya Atanasova Chokoeva1, Georgi Tchernev2*


1Onkoderma”- 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: georgi_tchernev@yahoo.de
Received: 13-Apr-2017; Revised: 27-Apr-2017; Accepted: 16-May-2017; Online first: 11-Jun-2017
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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- Tchernev G




Published by: Id Design 2012/DOOEL Skopje, Republic of Macedonia

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.