Perniosis (chilblains) masquerading as CA-MRSA: a case report

doi:10.1186/1757-1626-2-6500

Cases Journal

Volume 2

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Papadimos TJ
Gottwald LD
Pan ZK

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Case Report

Perniosis (chilblains) masquerading as CA-MRSA: a case report

Keith D Bohman¹, Thomas J Papadimos²^,3, Lorie D Gottwald⁴ and Zhixing K Pan²

¹Department of Pathology, University of Toledo, College of Medicine, 3000 Arlington Avenue, Toledo, OH 43614, USA

²Department of Medical Microbiology and Immunology, University of Toledo, College of Medicine, 3000 Arlington Avenue, Toledo, OH 43614, USA

³Department of Anesthesiology, University of Toledo, College of Medicine, 3000 Arlington Avenue, Toledo, OH 43614, USA

⁴Department of Dermatology, University of Toledo, College of Medicine, 3000 Arlington Avenue, Toledo, OH 43614, USA

Cases Journal 2009, 2:6500doi:10.1186/1757-1626-2-6500


Published:	29 May 2009

Abstract

Perniosis (chilblains) is a vasospastic, inflammatory disease that occurs when the skin is subjected to cold above the freezing point, under damp conditions. Erythematous (violaceous) blisters, ulcerations or pustules that sit on an edematous base, accompanied by pain, burning or itching, are usually evident. To the inexperienced clinician it may resemble community-associated methicillin-resistant Staphylococcus aureus and could lead to inappropriate treatment. Here we report such a case.