Annular elastolytic giant cell granuloma: An atypical presentation

Bibliographic Details
Title: Annular elastolytic giant cell granuloma: An atypical presentation
Authors: Vinitha Gopalakrishnan, Thonduparambil Pappan Thankappan, Gopalan Sulochana
Source: Indian Journal of Dermatopathology and Diagnostic Dermatology, Vol 5, Iss 1, Pp 51-53 (2018)
Publisher Information: Wolters Kluwer Medknow Publications, 2018.
Publication Year: 2018
Collection: LCC:Dermatology
Subject Terms: Actinic granuloma, elastophagocytosis, papular annular elastolytic giant cell granuloma, Dermatology, RL1-803
More Details: Annular elastolytic giant cell granuloma is a rare granulomatous disease with unknown pathogenesis. It clinically presents as single or multiple well-defined erythematous annular arciform serpiginous polycyclic plaque with indurated elevated borders and central atrophy in sun-exposed areas. It is found to have a causal association with conditions such as diabetes mellitus, T-cell leukemia, CD4 lymphoma, cutaneous amyloidosis, squamous cell carcinoma lung, sarcoidosis, and monoclonal gammopathy. On histopathology, characteristic “elastophagocytosis” of dermal elastic fibers by the multinucleated giant cells is seen. The presence of horizontally oriented fragmented elastic fibers is characteristic. There is no necrobiosis or mucin deposition, thus differentiating from granuloma annulare. We herein report a case of elderly male with type 2 diabetes mellitus who presented with asymptomatic multiple discrete erythematous shiny dome-shaped papules over anterior chest, abdomen, and back of 2-month duration. The diagnosis was confirmed by biopsy and thorough workup for associations was done. This case is reported due to the rarity of the disease, the atypical presentation, and the characteristic histopathology which lead to the diagnosis.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2349-6029
Relation: http://www.ijdpdd.com/article.asp?issn=2349-6029;year=2018;volume=5;issue=1;spage=51;epage=53;aulast=Gopalakrishnan; https://doaj.org/toc/2349-6029
DOI: 10.4103/ijdpdd.ijdpdd_42_17
Access URL: https://doaj.org/article/7407a6a4cdb249f898d8fb38ff09a229
Accession Number: edsdoj.7407a6a4cdb249f898d8fb38ff09a229
Database: Directory of Open Access Journals
More Details
ISSN:23496029
DOI:10.4103/ijdpdd.ijdpdd_42_17
Published in:Indian Journal of Dermatopathology and Diagnostic Dermatology
Language:English