Article Text

Bilateral cellulitis
  1. Vivek Batra1,
  2. Alexander Baras2
  1. 1John Hopkins Community Physicians, Columbia, Maryland, USA
  2. 2Department of Pathology, Johns Hopkins, Baltimore, Maryland, USA
  1. Correspondence to Dr Alexander Baras, baras{at}


We present a case of bilateral lesions in a 50-year-old man, which were on first impression mistaken for and initially treated as bilateral cellulitis. We propose that bilateral cellulitis, as opposed to unilateral, is rare and that other aetiologies should be considered in evaluating a patient with bilateral lesions. The differential diagnosis includes stasis-dermatitis, lipodermatosclerosis, lymphoedema and vascular lesions such as Kaposi sarcoma, as was identified in this case. Early consultation with dermatology and biopsy in unclear cases mitigates the unnecessary use of prolonged antibiotics, antibiotic resistance and Clostridium difficile infections. HIV testing is an essential screening test in all adults who present with non-specific viral symptoms and rash.

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