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Correspondence |

Atypical Subcutaneous Emphysema Mimicking Cellulitis

Irene Fuertes, MD; Antonio Guilabert, MD; Rafael Salvador, MD
Arch Dermatol. 2011;147(2):253-255. doi:10.1001/archdermatol.2010.436.
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Doweiko  JPAlter  C Subcutaneous emphysema: report of a case and review of the literature. Dermatology 1992;184 (1) 62- 64
PubMed Link to Article[[XSLOpenURL/10.1159/000247502]]
Samlaska  CPMaggio  KL Subcutaneous emphysema. Adv Dermatol 1996;11117- 152
PubMed
Frühauf  JWeinke  RPilger  UKerl  HMüllegger  RR Soft tissue cervicofacial emphysema after dental treatment: report of 2 cases with emphasis on the differential diagnosis of angioedema. Arch Dermatol 2005;141 (11) 1437- 1440
PubMed Link to Article[[XSLOpenURL/10.1001/archderm.141.11.1437]]
McKenzie  WSRosenberg  M Iatrogenic subcutaneous emphysema of dental and surgical origin: a literature review. J Oral Maxillofac Surg 2009;67 (6) 1265- 1268
PubMed Link to Article[[XSLOpenURL/10.1016/j.joms.2008.12.050]]
Verma  SB Subcutaneous emphysema: a rarity in dermatology. J Eur Acad Dermatol Venereol 2007;21 (2) 248- 249
PubMed
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Figure 1

The condition affected the neck and upper chest. A, Marked erythema and swelling involving the neck and upper chest. B, Bilateral cervical subcutaneous emphysema secondary to perforation of an esophageal neoplasm. The emphysema extended anteriorly from the retropharyngeal space to the central submandibular subcutaneous fat and posteriorly deep to the left shoulder girdle muscles and right laterocervical space.

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Figure 2

Hematoxylin-eosin–stained biopsy specimens. A, Separation of collagen bundles in the dermis (original magnification ×200). B, Focal fragmentation of adipocyte cell membranes in the subcutaneous tissue (original magnification ×100).

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