Histologic examination of a skin biopsy showed mild acanthosis in the epidermis and extensive necrosis with a predominant neutrophilic inflammatory infiltrate and cytoesteatonecrosis throughout the ...dermis and hypodermis, confirming the suspected diagnosis Figure 2. 2,4 There is no gold standard treatment for this panniculitis since only a few cases have been reported to date and no clinical trials have been previously conducted. Declaration of patient consent The authors certify that they have obtained all appropriate patient consent forms.