Subcutaneous emphysema as a complication of cryotherapy
DOI:
https://doi.org/10.29176/2590843X.1921Keywords:
Cryotherapy, Dermatology, Skin, Subcutaneous emphysemaAbstract
INTRODUCTION Cryotherapy is a freeze-thaw treatment that uses liquid nitrogen on the skin lesions with low-frequency side effects such as subcutaneous emphysema. The objective of this study was to describe a case report of subcutaneous emphysema due to cryotherapy on a keloid; such as the literature review of cases with this finding.
METHODOLOGY We report a subcutaneous emphysema associated with intralesional cryotherapy of a keloid in the chest. We also searched for cases in Embase, PubMed and BIREME using the keywords “cryotherapy” and “subcutaneous emphysema”.
RESULTS In the literature there are cases of post-cryotherapy subcutaneous emphysema for oncological indications (6/11), keloids (3/11) and fistulous tracts in hidradenitis suppurativa (HS) (2/11); in head (4/11), thorax (2/11), neck and thorax (2/11) and upper limb (2/11).
CONCLUSIONS At least one risk factor is described that explains the passage of liquid nitrogen into the subcutaneous cellular tissue such as ulcers, curettages, previous infiltrations, atrophic skin due to sun damage or use of corticosteroids and insufflation of fistulous tracts.
Author Biographies
Laura Garcia Blanco, Icesi University
Residente de Dermatología, Universidad Icesi, Facultad Ciencias de la Salud, Cali, Colombia.
Oscar Eduardo Guzmán Mendoza, Icesi University
Residente de Dermatología, Universidad Icesi, Facultad Ciencias de la Salud, Cali, Colombia.
Natalia Calvache Hernández, Fundación Valle del Lili
Dermatólogo, Unidad de Dermatología, Fundación Valle del Lili, Cali, Colombia.
Silvana Castillo Loaiza, Fundación Valle del Lili
Dermatólogo, Unidad de Dermatología, Fundación Valle del Lili, Cali, Colombia.
References
Elton RF. Complications of cutaneous cryosurgery. J Am Acad Dermatol. 1983;8(4):513–9. https://doi.org/10.1016/S0190-9622(83)70057-5
A. C. Complication of cryotherapy. Med J Aust . Med J Aust. 1993;159(11–12):836.
Lambert T, Wells M WK. Subcutaneous emphysema resulting from liquid nitrogen spray. J Am Acad Dermatol. 2006;55(5 SUPPL.):95–6. https://doi.org/10.1016/j.jaad.2005.09.023
Vano-Galvan S, Bagazgoitia L, Perez B JP. Subcutaneous emphysema caused by cryotherapy application over a corticosteroid-induced atrophic skin. J Eur Acad Dermatology Venereol. 2008;22(4):508–9. https://doi.org/10.1111/j.1468-3083.2007.02372.x
Jensen P, Johansen UB, Thyssen JP. Cryotherapy caused widespread subcutaneous emphysema mimicking angiooedema. Acta Derm Venereol. 2014;94(2):241. https://doi.org/10.2340/00015555-1663
Martínez-Coronado J, Torres-Álvarez B, Castanedo-Cázares JP. Subcutaneous Emphysema Induced by Cryotherapy: A Complication due to Previous Punctures. Case Rep Dermatol Med. 2015;2015:1–3. https://doi.org/10.1155/2015/374817
Kramer A, Metanes I, Eyal N, Brizgalin L, Halabi S, Har-Shai L, et al. Pneumomediastinum, pneumothorax and subcutaneous emphysema following cryoinsufflation for the treatment of hidradenitis suppurativa. Eur J Plast Surg [Internet]. 2017;40(1):71–4. Available from: http://dx.doi.org/10.1007/s00238-016-1230-6
Falay Gür T, Savaş Erdoğan S, Kara C, Ertekin SS. Subcutaneous emphysema after intralesional cryotherapy: An unusual complication. J Cosmet Dermatol. 2022;21(2):850–2. https://doi.org/10.1111/jocd.14159
Verma S et al. Subcutaneous emphysema: A rarity in dermatology. J Eur Acad Dermatology Venereol [Internet]. 2007 Feb 20;21(2):247–8. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1468-3083.2006.01805.x
Clebak KT, Mendez-Miller M, Croad J. Cutaneous Cryosurgery for Common Skin Conditions. Am Fam Physician [Internet]. 2020;101(7):399–406.
James W. Patterson. Miscellaneous conditions. Weedon’s Ski Pathol Elsevier (2021) pg 627.
Lazzarotto A, Tel A, Vetrugno L, Cereser L, Sembronio S, Di Cosola M, et al. Pneumomediastinum, pneumothorax and subcutaneous emphysema after tracheostomy closure. When less is more. Acta Biomed. 2021;92(1):1–4. https://doi.org/10.23750/abm.v92iS1.11551
Blanchard E, Wierzbicka-Hainaut E, Mallem S, Chasseuil P, Guillet G. Emphysème cutané iatrogène. Ann Dermatol Venereol. 2010;137(4):294–6. https://doi.org/10.1016/j.annder.2010.02.016
Kuflik EG. Cryosurgery updated. J Am Acad Dermatol [Internet]. 1994;31(6):925–44. Available from: http://dx.doi.org/10.1016/S0190-9622(94)70261-6
Darias Domínguez C, Roque Enríquez A, Torres Carrascal CA, Oliva Pérez Y. Efectos terapéuticos de la crioterapia con nitrógeno líquido en lesiones por fotodaño, en la consulta dermatológica. Rev Médica Electrónica [Internet]. 2021;43(4):1069–78. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242021000401069&lang=en
Thai KE, Sinclair RD. Cryosurgery of benign skin lesions. Australas J Dermatol. 1999;40(4):175–86. https://doi.org/10.1046/j.1440-0960.1999.00356.x.
Preto Gomes N, Matos P, Amoedo P, Cerejeira A, Lemos L, Cruz M, et al. Cryosurgery-induced pneumomediastinum in a young woman with hidradenitis suppurativa. Indian J Dermatol [Internet]. 2022 Jul 1 ;67(4):458. https://doi.org/10.4103/ijd.ijd_122_21
Corona Nuñez et al. Enfisema subcutáneo inducido por criocirugía. Reporte de caso. Libro resumenes XXIII congreso CILAD. 2022. Pagina 891.
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Copyright (c) 2024 Laura Garcia Blanco, Oscar Eduardo Guzmán Mendoza, Natalia Calvache Hernández, Silvana Castillo Loaiza
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