Greetings
My name is AAAA. I have a case that has been examined by multiple colleagues of mine and none of them can pinpoint a diagnosis. They keep going back to persistent cellulitis.
Patient in question is 40 with no pre-existing health problems. She is 6 feet, 264 pounds.
She has had two of these lesions removed; they are about 1 by 2 cm, pink, translucent. Biopsy came back negative for cancer, negative for infection. She has been seen by ED physicians, cardiologists, my supervising MD who is family medicine and myself.
Now she is having these pop up in mulitiple areas of her body to include her arms. She has been on constant antibiotic therapy to include Keflex, doxycycline, Bactrim, IV vanc while hospitalized for over eight weeks now. It was responsive to one IM shot of steroids but came back a couple of days later.
One thing that struck me as odd: in her family history she mentions her sister had something similar to what she is experiencing and it was a "strange neurologic disease," that resolved over fifteen years ago. They do not remember the exact name of this disease. Do you know of any diagnosis that could mimic the symptoms described above?
Many Thanks
AAAAAA FNP