0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Observation |

Pott’s Puffy Tumor Caused by Chronic Sinusitis Resulting in Sinocutaneous Fistula

Hitoshi Terui, MD1,2; Ikuko Numata, MD, PhD1; Yusuke Takata, MD, PhD3; Masaki Ogura, MD, PhD3; Setsuya Aiba, MD, PhD2
[+] Author Affiliations
1Department of Dermatology, Sendai City Hospital, Sendai, Miyagi, Japan
2Department of Dermatology, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan
3Department of Otorhinolaryngology, Sendai City Hospital, Sendai, Miyagi, Japan
JAMA Dermatol. 2015;151(11):1261-1263. doi:10.1001/jamadermatol.2015.0874.
Text Size: A A A
Published online

Extract

This case report describes a patient with Pott’s puffy tumor caused by chronic sinusitis that resulted in a sinocutaneous fistula.

Pott’s puffy tumor was reported first in 1760 as a forehead swelling and frontal bone osteomyelitis in association with an epidural abscess,1 one of the most dangerous complications of frontal sinusitis.2 To our knowledge, however, only 2 cases of Pott’s puffy tumor have been reported in the English dermatologic literature.3,4 Herein, we report a case of Pott’s puffy tumor caused by chronic sinusitis that resulted in a sinocutaneous fistula.

Figures in this Article

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Place holder to copy figure label and caption
Figure.
Clinical, MRI, CT and Histologic Features of Pott’s Puffy Tumor

A, The patient presented with an immovable scarlike node, 11 × 7 mm, on her right upper eyelid, discharging pus. B, Magnetic resonance imaging (MRI) revealed high signal on the T2-weighted image (left) and a ring enhancement on contrast-enhanced MRI (right), suggesting an abscess in the right frontal sinus. C, Computed tomographic (CT) imaging (left, axial section; right, coronal section) showed an opacification on right frontal sinus, right ethmoid sinus, and right maxillary sinus and expansion of the right frontal sinus and right ethmoid sinus without any bone destruction. D, Histopathologic evaluation of sinus mucosa samples revealed a mild inflammatory infiltrate with fibrosis (hematoxylin-eosin, original magnification ×100). E, High-power magnification of the lymphoplasmacytic infiltrate (hematoxylin-eosin, original magnification ×400).

Graphic Jump Location

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

324 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
Jobs
JAMAevidence.com

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Quick Reference

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Quick Reference

brightcove.createExperiences();