Sclerosing Lipogranuloma with Multiple Skin Lesions and Pulmonary Involvement, Secondary to a Factitious Disorder.

Although the injection of paraffin, mineral oil, and silicon into body parts began to be described in the 19th century, similar procedures had been practiced before that time (1). Women undergo wrinkle correction and breast augmentation, whereas men seek to achieve erectile enhancement and penile enlargement (2–5). Reports on the development of subcutaneous nodules at the sites of injection abound – commonly referred to as sclerosing lipogranuloma (SL) and paraffinoma (6). SL and paraffinoma are types of foreign body panniculitis that are characterized histopathologically by fat globules that vary in size, replacing subcutaneous fat tissue. These bodies are surrounded by multinucleated foreign body giant cells and are associated with chronic granulomatous inflammatory reactions, free fat droplets, hyalinization of fibrous tissue, fibrosis; calcification can occur in long lasting lesions (6). Visceral lesions of LG are rare and can lead to death (7, 8). We report an unusual case of SL with widespread cutaneous lesions and pulmonary compromise.