Mycobacterium chelonae infection presenting as recurrent cutaneous and subcutaneous nodules – a presentation previously diagnosed as Weber Christian disease
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Mycobacterium chelonae infection presenting as recurrent cutaneous and subcutaneous nodules – a presentation previously diagnosed as Weber Christian disease

  • Author(s): Maverakis, Emanual
  • He, Yong
  • Patel, Forum B
  • Fitzmaurice, Sarah
  • Fung, Maxwell A
  • et al.
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Public License
Abstract

Although the dermatologic community rarely uses “Weber-Christian Disease” as a diagnosis, it still appears in the internal medicine literature.  Herein we present a patient with recurrent cutaneous and subcutaneous nodules who was initially treated with aggressive immunosupression for a presumptive diagnosis of Weber-Christian Disease.  After more than a decade the patient was diagnosed with cutaneous Mycobacterium chelonea.  This case is an excellent example of the difficulty in diagnosing mycobacterial infections and underscores the importance of having a high suspicion for infectious etiologies for unresponsive cutaneous eruptions in patients on immunosuppressive medications.

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