An Overview of Panniculitis – A Diagnostic Challenge for Dermatologists and Pathologists

1 - ”Grigore T. Popa” University of Medicine and Pharmacy, Faculty of Medicine, Department of Dermatology, Iasi, Romania

2 - Railway Clinical Hospital, Dermatology Clinic, Iasi, Romania

3 - Dermalux, Iasi, Romania

4 - “Agrippa Ionescu” Emergency Clinical Hospital, Bucharest, Romania

5 - “Saint Spiridon” Emergency Clinical Hospital, Vascular Surgery Clinic, Iasi, Romania

6 - ”Dunarea de Jos” University, Faculty of Medicine and Pharmacy, Clinical Department, Galati, Romania

7 - ”Grigore T. Popa” University of Medicine and Pharmacy, Faculty of Medicine, 700115 Iasi, Romania

8 - “Arcadia” Hospitals and Medical Centers, Dermatology Department, Iasi, Romania

9 - ”Grigore T. Popa” University of Medicine and Pharmacy, Faculty of Dental Medicine, Discipline of Oral Dermatology, Iasi, Romania

Correspondence: Alin Nicolescu, nicolescualin66@yahoo.com

DOI: https://doi.org/10.55453/rjmm.2023.126.4.12

Received: May 09, 2023

Accepted: July 3, 2023

Abstract:

The term “panniculitis” refers to a heterogeneous group of conditions that involve inflammation of the subcutaneous cellular tissue. Although there is no universally accepted classification of panniculitis, to facilitate the diagnosis, they were divided into two large classes, based on the histopathological criteria: predominantly lobular and predominantly septal panniculitis. Depending on the presence or absence of vascular damage, each of the two classes mentioned above is divided in turn into panniculitis without vasculitis and panniculitis with vasculitis. The diagnosis of various types of panniculitis can sometimes be very difficult, due to the histopathological changes that occur in the various evolutionary stages of the lesions. Thus, the positive diagnosis relies on the corroboration of clinical data, histopathological examination, and ancillary laboratory tests. We provide an overview of the clinical and histopathological features of panniculitis, classified according to the histopathological criteria.

Keywords:

An Overview of Panniculitis – A Diagnostic Challenge for Dermatologists and Pathologists

Cite this article

APA Style

Branisteanu, D.E., Cojocaru, M., Nicolescu, A.C., Onu-Branisteanu, C.I., Stoleriu, G., Munteanu, C., Spinu, A., Branisteanu, G.I., Dimitriu, A., & Toader, M.P. (2025). An overview of panniculitis – a diagnostic challenge for dermatologists and pathologists. Romanian Journal of Military Medicine, 126(4), 424-432. https://doi.org/10.55453/rjmm.2023.126.4.12

Vancouver Style

Branisteanu DE, Cojocaru M, Nicolescu AC, Onu-Branisteanu CI, Stoleriu G, Munteanu C, et al. An Overview of Panniculitis – A Diagnostic Challenge for Dermatologists and Pathologists. Rom J Mil Med. 2025;126(4):424-432. doi:10.55453/rjmm.2023.126.4.12.

Harvard Style

Branisteanu, D.E., Cojocaru, M., Nicolescu, A.C., Onu-Branisteanu, C.I., Stoleriu, G., Munteanu, C., Spinu, A., Branisteanu, G.I., Dimitriu, A. & Toader, M.P. 2025, 'An Overview of Panniculitis – A Diagnostic Challenge for Dermatologists and Pathologists', Romanian Journal of Military Medicine, vol. 126, no. 4, pp. 424-432, doi:10.55453/rjmm.2023.126.4.12.