Abstract
Weber-Christian disease (relapsing febrile nonsuppurative nodular panniculitis) is an idiopathic systemic recurrent panniculitis. It usually presents with relapsing fever and subcutaneous nodules that sometimes leave depressions of the skin. The nodules often occur in the head and neck regions, especially the cheeks. Reports of this disease from otorhinolaryngologists are quite rare. We report a case of Weber-Christian disease in the head and neck region.
A 57-year-old woman presented with a low grade fever and relapsing nodules in the bilateral cheeks and neck. She had a past history of non-Hodgkin's lymphoma, rheumatoid arthritis, and diabetes mellitus. An exploratory biopsy was performed, and the histology showed granuloma and panniculitis, which indicated Weber-Christian disease. Because we were unfamiliar with this disease, we were unable to make a diagnosis. Afterwards, pleural effusion and nodules in the bilateral forearms occurred, and then the diagnosis of Weber-Christian disease was made.
She was successfully treated with prednisolone.
