Case for Diagnosis: Pigmentation and Panniculitsi Following the Injection of Iron. Presented by Dr. Leslie P. Barker.
Former secretary, female, aged 35.
Patient contracted brucellosis in Lisbon in 1952. The disease was not diagnosed until March, 1958. In spite of various treatments she still has periodic bouts of fever and malaise.From November, 1958, to May, 1959, she received 1 or 2 injections of iron (Imferon) per week in the gluteal muscles on each side. The site of injection became quite painful at the time and later developed a light to dark brown plaque-like and mottled pigmentation over the injection sites, each several inches in diameter. The areas are still tender, but not infiltrated.In November, 1958, she received 2 weekly injections of the same product in the right deltoid area. This area became red and very tender. When first seen, Dec. 20, 1960, there was a red,
Costello MJ, Barker LP. NEW YORK DERMATOLOGICAL SOCIETY. Arch Dermatol. 1961;84(3):528–540. doi:10.1001/archderm.1961.01580150174050
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