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January 1984

Necrotic Cellulitis: A Localized Form of Septic Vasculitis

Author Affiliations

From the Department of Medicine, St Vincent Hospital, Indianapolis.

Arch Dermatol. 1984;120(1):87-92. doi:10.1001/archderm.1984.01650370093018

• Cutaneous biopsy specimens from two patients with localized, bacterial, necrotic cellulitis showed a neutrophilic vasculitis with fibrin thrombi, changes indistinguishable from those seen in a third patient with bacterial septicemia. Additional clinical information may be needed before a definitive diagnosis of localized or systemic septic vasculitis can be made with certainty. The clinical and microscopic features of the lesions and their pathologic mechanisms are discussed.

(Arch Dermatol 1984;120:87-92)