PSEUDOLYMPHOMA AND CHOLESTEROL CRYSTAL EM BOLIZATION

We report the case of a 60-year old man who, during four years followi ng surgical repair of an inguinal hernia (with transient antithromboti c therapy), suffered from an atypical inflammatory nodule on the dorsu m of the left foot with an erythematous plaque on the first intermetat arsal space, together with an inflammatory plaque on the right fifth f inger and hairless plaques on both wrists. An ultimate biopsy of the n odule made it possible to discover, unexpectedly, two shadows of chole sterol crystals in a vascular lumen and inside the cytoplasm of a gian t multinucleate cell found on a single histological slice and at the d eepest part of the fragment. The inflammatory lesions disappeared unde r a 250 mg/day aspirin treatment. We emphasize the uncommon clinical a nd pathological pseudo-lymphomatous features of this case and regard o ur description as original in view of the chronicity of the embolising process.