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ACTINIC GRANULOMA (ANNULAR ELASTOLYTIC GIANT CELL GRANULOMA) (1997 Uniformed Services Dermatology Seminar, Case#26) presented by: Jay L. Viernes, Maj, USAF, MC, FS

Cirivello MJC - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: ACTINIC GRANULOMA (ANNULAR ELASTOLYTIC GIANT CELL GRANULOMA) (1997 Uniformed Services Dermatology Seminar, Case#26) presented by: Jay L. Viernes, Maj, USAF, MC, FS

History: presented with a three year history of pruritic red circular and annular plaques on her anterior neck and left and right upper arms. The plaques seemed to be enlarging slowly since first noted. The patient reported that the lesions also occasionally burn. She denied any history of similar lesions in the past. There were no aggravating or alleviating factors. She had been prescribed l% cortisone and various antifungals without relief.

Exam: PHYSICAL EXAM: Large smooth annular plaques with raised edges were present on the anterior neck. The edges were firm, indurated, and erythematous and there was central clearing and mild atrophy. No scale was appreciated. There were papules which had coalesced into smaller annular plaques with central clearing and slight atrophy on the left and right inner upper arms. LABORATORY DATA: TFTs: normal; CBC: normal; Glucose: normal; Electrolytes: normal; BUN/Creatinine: normal HISTOPATHOLOGY: incisional biopsy. Sections demonstrated focal dermal granulomatous inflammation. Elastic stains revealed absence of elastic fibers within the zone of inflammation and normal elastic fibers bordering the zone of the inflammation. Scattered giant cells contained elastic fibers. The findings were consistent with actinic granuloma (annular elastolytic granuloma).

No MeSH data available.


ACTINIC GRANULOMA (ANNULAR ELASTOLYTIC GIANT CELL GRANULOMA)
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MPX2429_synpic16703: ACTINIC GRANULOMA (ANNULAR ELASTOLYTIC GIANT CELL GRANULOMA)


ACTINIC GRANULOMA (ANNULAR ELASTOLYTIC GIANT CELL GRANULOMA) (1997 Uniformed Services Dermatology Seminar, Case#26) presented by: Jay L. Viernes, Maj, USAF, MC, FS

Cirivello MJC - MedPix

ACTINIC GRANULOMA (ANNULAR ELASTOLYTIC GIANT CELL GRANULOMA)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2429&req=5

MPX2429_synpic16703: ACTINIC GRANULOMA (ANNULAR ELASTOLYTIC GIANT CELL GRANULOMA)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: ACTINIC GRANULOMA (ANNULAR ELASTOLYTIC GIANT CELL GRANULOMA) (1997 Uniformed Services Dermatology Seminar, Case#26) presented by: Jay L. Viernes, Maj, USAF, MC, FS

History: presented with a three year history of pruritic red circular and annular plaques on her anterior neck and left and right upper arms. The plaques seemed to be enlarging slowly since first noted. The patient reported that the lesions also occasionally burn. She denied any history of similar lesions in the past. There were no aggravating or alleviating factors. She had been prescribed l% cortisone and various antifungals without relief.

Exam: PHYSICAL EXAM: Large smooth annular plaques with raised edges were present on the anterior neck. The edges were firm, indurated, and erythematous and there was central clearing and mild atrophy. No scale was appreciated. There were papules which had coalesced into smaller annular plaques with central clearing and slight atrophy on the left and right inner upper arms. LABORATORY DATA: TFTs: normal; CBC: normal; Glucose: normal; Electrolytes: normal; BUN/Creatinine: normal HISTOPATHOLOGY: incisional biopsy. Sections demonstrated focal dermal granulomatous inflammation. Elastic stains revealed absence of elastic fibers within the zone of inflammation and normal elastic fibers bordering the zone of the inflammation. Scattered giant cells contained elastic fibers. The findings were consistent with actinic granuloma (annular elastolytic granuloma).

No MeSH data available.