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A case of cranial fasciitis masquerading as acute mastoiditis

  • L R Marshall (a1), R J Salib (a2), T E Mitchell (a2) and I Moore (a3)

Abstract

Objective:

We report a case of infection against a background of pre-existing cranial fasciitis.

Method:

Case report and review of world literature on cranial fasciitis.

Results:

Cranial fasciitis of childhood is a benign condition and a rare variant of nodular fasciitis. We present the case of a 10-week-old infant with symptoms and signs consistent with a subperiosteal abscess complicating acute mastoiditis. Subsequent findings showed this to be an infection against a background of pre-existing cranial fasciitis.

Conclusion:

To our knowledge, this is the first such reported case in the literature. Knowledge of the distinctive histopathological features, coupled with an awareness of the condition, are crucial to establishing a definitive diagnosis of cranial fasciitis and, in turn, to instituting appropriate management. The aetiopathogenesis of the condition remains unclear.

Copyright

Corresponding author

Address for correspondence: Miss L R Marshall, c/o ENT Department, Poole Hospital NHS Trust, Longfleet Road, Poole BH15 2JB, UK. Fax: 01202448410 E-mail: lisamarshall@doctors.org.uk

References

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1Lauer, DH, Enzinger, FM. Cranial fasciitis of childhood. Cancer 1980;45:401–6
2Adler, R, Wong, CA. Cranial fasciitis simulating histiocytosis. J Paediatr 1986;109:85–8
3Keyserling, HF, Castillo, M, Smith, JK. Cranial fasciitis of childhood. Am J Neuroradiol 2003;24:1465–7
4Patterson, JW, Moran, SL, Konerding, H. Cranial fasciitis. Arch Dermatol 1989;125:674–8
5Lee, JY, Kim, YC, Shin, JH. Cranial fasciitis treated with intralesional corticosteroids. Int J Dermatol 2004;43:453–5
6Larralde, M, Boggio, P, Schroh, R, Cusumano, H. Cranial fasciitis of childhood. Int J Dermatol 2003;42:137–8
7Clap, CG, Dodson, EE, Pickett, BP, Lambert, PR. Cranial fasciitis presenting as an external auditory canal mass. Arch Otolaryngol Head Neck Surg 1997;123:223–5

Keywords

A case of cranial fasciitis masquerading as acute mastoiditis

  • L R Marshall (a1), R J Salib (a2), T E Mitchell (a2) and I Moore (a3)

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