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Foreign Body (Solder) and Reaction to the Foreign Body Presenting As a Cutaneous Tender Tumor: Case Report and a New Acronym to Aid in Recalling the Differential Diagnosis of Painful Skin Lesions.
Cureus. 2020 Feb 11; 12(2):e6955.C

Abstract

Cutaneous tender tumors manifest as painful dermal or subcutaneous masses. Acronyms, a memory aid created from the initial letters of other words, can be used to assist in recalling a list of conditions. We report the case of a man who presented with a painful lesion on his leg; 15 years earlier, hot solder had embedded beneath his skin at that location. The subcutaneous mass was removed, and his symptoms resolved. Microscopic evaluation of the specimen showed a foreign body reaction to metal. Therefore, after correlating his medical history, clinical presentation, and pathology findings, the diagnosis of a foreign body (solder) and a foreign body reaction to solder, as a cause of the patient's painful skin lesion, was established. Including our patient's diagnosis for his painful skin lesion, the list of conditions that have been described as presenting as a cutaneous tender tumor include calcinosis cutis, angioendotheliomatosis, leiomyoma, metastases, hidradenoma, osteoma cutis, glomus tumor, scar, fibromyxoma, leiomyosarcoma, eccrine angiomatous hamartoma, Dercum's disease, piezogenic pedal papule, eccrine spiradenoma, neurilemmoma, something else (such as foreign body (solder) and a reaction to the foreign body), angiolipoma, neuroma, dermatofibroma, granular cell tumor, endometriosis, thrombus, blue rubber bleb nevus, angioma, chondrodermatitis nodularis helicis, and keloid. We introduce a novel acronym for painful lesions of the skin that was inspired by the book Charlotte's Web in which a barn spider (Charlotte), by weaving praises of a pig (Wilbur) into her web, is responsible for the pig's life being spared. Wilbur is a calm pig; however, there was an episode when he temporarily fled his pen and was subsequently induced, with a pail of slop, to get back into the pen. The new acronym for cutaneous tender tumors uses the initial letter of each of the 26 currently established painful skin lesions: CALM HOGS FLED PENS AND GET BACK.

Authors+Show Affiliations

Dermatology, San Diego Family Dermatology, San Diego, USA.Dermatopathology, Compass Dermatopathology, San Diego, USA.Dermatology, Compass Dermatopathology, San Diego, USA.Dermatology/Dermatopathology, Compass Dermatopathology, San Diego, USA.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

32190505

Citation

Cohen, Philip R., et al. "Foreign Body (Solder) and Reaction to the Foreign Body Presenting as a Cutaneous Tender Tumor: Case Report and a New Acronym to Aid in Recalling the Differential Diagnosis of Painful Skin Lesions." Cureus, vol. 12, no. 2, 2020, pp. e6955.
Cohen PR, Skupsky H, Erickson C, et al. Foreign Body (Solder) and Reaction to the Foreign Body Presenting As a Cutaneous Tender Tumor: Case Report and a New Acronym to Aid in Recalling the Differential Diagnosis of Painful Skin Lesions. Cureus. 2020;12(2):e6955.
Cohen, P. R., Skupsky, H., Erickson, C., & Calame, A. (2020). Foreign Body (Solder) and Reaction to the Foreign Body Presenting As a Cutaneous Tender Tumor: Case Report and a New Acronym to Aid in Recalling the Differential Diagnosis of Painful Skin Lesions. Cureus, 12(2), e6955. https://doi.org/10.7759/cureus.6955
Cohen PR, et al. Foreign Body (Solder) and Reaction to the Foreign Body Presenting as a Cutaneous Tender Tumor: Case Report and a New Acronym to Aid in Recalling the Differential Diagnosis of Painful Skin Lesions. Cureus. 2020 Feb 11;12(2):e6955. PubMed PMID: 32190505.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Foreign Body (Solder) and Reaction to the Foreign Body Presenting As a Cutaneous Tender Tumor: Case Report and a New Acronym to Aid in Recalling the Differential Diagnosis of Painful Skin Lesions. AU - Cohen,Philip R, AU - Skupsky,Hadas, AU - Erickson,Christof, AU - Calame,Antoanella, Y1 - 2020/02/11/ PY - 2020/3/20/entrez PY - 2020/3/20/pubmed PY - 2020/3/20/medline KW - calm KW - cutaneous KW - dermal KW - hogs KW - lesion KW - painful KW - skin KW - solder KW - tender KW - tumor SP - e6955 EP - e6955 JF - Cureus JO - Cureus VL - 12 IS - 2 N2 - Cutaneous tender tumors manifest as painful dermal or subcutaneous masses. Acronyms, a memory aid created from the initial letters of other words, can be used to assist in recalling a list of conditions. We report the case of a man who presented with a painful lesion on his leg; 15 years earlier, hot solder had embedded beneath his skin at that location. The subcutaneous mass was removed, and his symptoms resolved. Microscopic evaluation of the specimen showed a foreign body reaction to metal. Therefore, after correlating his medical history, clinical presentation, and pathology findings, the diagnosis of a foreign body (solder) and a foreign body reaction to solder, as a cause of the patient's painful skin lesion, was established. Including our patient's diagnosis for his painful skin lesion, the list of conditions that have been described as presenting as a cutaneous tender tumor include calcinosis cutis, angioendotheliomatosis, leiomyoma, metastases, hidradenoma, osteoma cutis, glomus tumor, scar, fibromyxoma, leiomyosarcoma, eccrine angiomatous hamartoma, Dercum's disease, piezogenic pedal papule, eccrine spiradenoma, neurilemmoma, something else (such as foreign body (solder) and a reaction to the foreign body), angiolipoma, neuroma, dermatofibroma, granular cell tumor, endometriosis, thrombus, blue rubber bleb nevus, angioma, chondrodermatitis nodularis helicis, and keloid. We introduce a novel acronym for painful lesions of the skin that was inspired by the book Charlotte's Web in which a barn spider (Charlotte), by weaving praises of a pig (Wilbur) into her web, is responsible for the pig's life being spared. Wilbur is a calm pig; however, there was an episode when he temporarily fled his pen and was subsequently induced, with a pail of slop, to get back into the pen. The new acronym for cutaneous tender tumors uses the initial letter of each of the 26 currently established painful skin lesions: CALM HOGS FLED PENS AND GET BACK. SN - 2168-8184 UR - https://www.unboundmedicine.com/medline/citation/32190505/Foreign_Body_(Solder)_and_Reaction_to_the_Foreign_Body_Presenting_As_a_Cutaneous_Tender_Tumor:_Case_Report_and_a_New_Acronym_to_Aid_in_Recalling_the_Differential_Diagnosis_of_Painful_Skin_Lesions L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/32190505/ DB - PRIME DP - Unbound Medicine ER -
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