Reena K Sharma, M. Gupta, Anchana Gulati, Samriti Sood
{"title":"Angiolymphoid hyperplasia with eosinophilia: Simultaneous presence of lesions of two different morphologies","authors":"Reena K Sharma, M. Gupta, Anchana Gulati, Samriti Sood","doi":"10.4103/ijdpdd.ijdpdd_18_19","DOIUrl":"https://doi.org/10.4103/ijdpdd.ijdpdd_18_19","url":null,"abstract":"Angiolymphoid hyperplasia with eosinophilia (ALHE) is a rare vascular tumor which presents as a dermal papule or a nodule over the head-and-neck region. Histopathologically, there is vascular proliferation in the upper dermis and diffuse lymphocytic infiltrate with eosinophilia. Kimura's disease is the closest differential of ALHE, which presents as subcutaneous nodules. We report a case of ALHE presenting with a violaceous papule overlying a subcutaneous nodule, histopathologically; both lesions were diagnosed as ALHE.","PeriodicalId":423971,"journal":{"name":"Indian Journal of Dermatopathology and Diagnostic Dermatology","volume":"196 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120971828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acrokeratoelastoidosis in hansen's disease: A new insight","authors":"V. Shah, K. Rambhia, J. Mukhi, R. Singh","doi":"10.4103/ijdpdd.ijdpdd_6_20","DOIUrl":"https://doi.org/10.4103/ijdpdd.ijdpdd_6_20","url":null,"abstract":"Acrokeratoelastoidosis (AKE), first described by Costa in 1953, is characterized by small, firm, keratotic papules with central umbilication along the borders of the hands and feet. It is a type of palmoplantar marginal papular keratoderma and needs to be differentiated from other marginal papular keratodermas. AKE can be inherited or sporadic, with predisposing factors being excessive sun exposure, hyperhidrosis, and repetitive trauma. We here describe a case of AKE in a leprosy patient with probably secondary to repetitive chronic trauma due to loss of sensory function.","PeriodicalId":423971,"journal":{"name":"Indian Journal of Dermatopathology and Diagnostic Dermatology","volume":"380 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129121988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Varied presentation of cutaneous tuberculosis in a patient","authors":"S. Rani, Prekshi Bansal, A. Ahuja, Diksha Agrawal","doi":"10.4103/ijdpdd.ijdpdd_63_19","DOIUrl":"https://doi.org/10.4103/ijdpdd.ijdpdd_63_19","url":null,"abstract":"","PeriodicalId":423971,"journal":{"name":"Indian Journal of Dermatopathology and Diagnostic Dermatology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130420980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Fathima, A. Priyadarshini, M. Veeraraghavan, M. Sundaram
{"title":"Punctate porokeratosis presenting as papules along palmar and plantar creases","authors":"A. Fathima, A. Priyadarshini, M. Veeraraghavan, M. Sundaram","doi":"10.4103/ijdpdd.ijdpdd_61_19","DOIUrl":"https://doi.org/10.4103/ijdpdd.ijdpdd_61_19","url":null,"abstract":"","PeriodicalId":423971,"journal":{"name":"Indian Journal of Dermatopathology and Diagnostic Dermatology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125900287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Papuloerythroderma secondary to granulocytic sarcoma of lymph node","authors":"Ashish Jagati, Bela J. Shah, Trusha P Gajjar","doi":"10.4103/ijdpdd.ijdpdd_7_19","DOIUrl":"https://doi.org/10.4103/ijdpdd.ijdpdd_7_19","url":null,"abstract":"Papuloerythroderma (PE) is a rare cutaneous condition characterized by intensely pruritic, papular eruptions sparing major skin folds. These lesions later coalesce to form plaques and potentially evolve into erythroderma. The characteristic sparing of large skin folds in PE is known as the deck chair sign. Various associations for PE have been identified. We are here reporting a case of PE secondary to granulocytic sarcoma of lymph node. To the best of our knowledge, PE associated with granulocytic sarcoma has not been reported before.","PeriodicalId":423971,"journal":{"name":"Indian Journal of Dermatopathology and Diagnostic Dermatology","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121716813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A late presentation of Hailey–Hailey disease with clinical-dermoscopic-histological correlation","authors":"R. Vasani, Sushrut Save","doi":"10.4103/ijdpdd.ijdpdd_34_19","DOIUrl":"https://doi.org/10.4103/ijdpdd.ijdpdd_34_19","url":null,"abstract":"Sir, Hailey–Hailey disease (HHD) is a blistering disease caused by mutation in ATP2C1 gene with autosomal dominant inheritance. The usual age of presentation is late teenage or in adulthood (30s and 40s).[1] Delayed diagnosis is common, especially if the patient’s lesions respond to topical steroids and antifungals.[1] We present a clinically misdiagnosed case in an elderly female and attempt a clinic-dermoscopic-histological correlation.","PeriodicalId":423971,"journal":{"name":"Indian Journal of Dermatopathology and Diagnostic Dermatology","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115895856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A retrospective study of clinical and histopathological spectrum of genital lichen sclerosus in a tertiary care center","authors":"S. Mahajan, S. Mahajan, U. Khopkar, V. Kharkar","doi":"10.4103/ijdpdd.ijdpdd_31_19","DOIUrl":"https://doi.org/10.4103/ijdpdd.ijdpdd_31_19","url":null,"abstract":"Background: Genital lichen sclerosus (LS) is a chronic, autoimmune, inflammatory dermatosis of genitalia more common in females than males. Diagnosis of early genital LS is difficult clinically; hence, histopathology may help to confirm the diagnosis. Aims: The aim of this retrospective study was to elucidate the epidemiology of genital LS and to correlate the clinical and histopathological features of genital LS. Methods: Records of 30 clinically diagnosed patients of genital LS with 27 biopsies included in the study. Clinical data from the records reviewed. Histopathological parameters noted and accordingly cases classified into early, evolved, and mature LS and correlated with clinical features. Results: Genital LS was more common in females with early age of onset. Adult patients had longer duration of disease. Pruritus was the most common symptom and females were more symptomatic. Hypothyroidism was the associated autoimmune disease in two cases. Out of thirty patients, six had genital with perianal involvement and two had genital with the extragenital disease. Phimosis was the most common complication in males, while introital stenosis was the most common in females. Lymphohistiocytic infiltrate was the most common histopathological finding followed by hyperkeratosis, dilated blood vessels and lymphatics, and collagen homogenization. Duration, symptoms, and clinical features were found to be independent of the histopathology findings. Limitations: It is a retrospective study with limited patient information. Association of genital LS with other autoimmune diseases cannot be commented as required investigations were not done. Our data are cross-sectional without follow-up, hence the disease course and treatment outcome could not be commented. Conclusions: Genital LS is prevalent in adult females but childhood occurrence is uncommon. Perianal affection occurs almost exclusively in women with genital LS. Understanding variations in histopathologic features is vital to appropriate clinicopathologic correlation. Long-term follow-up is recommended.","PeriodicalId":423971,"journal":{"name":"Indian Journal of Dermatopathology and Diagnostic Dermatology","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134454766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Reddy, T. Sumathy, A. Shyamprasad, K. Shivaswamy, M. Suparna
{"title":"Clinical, dermoscopic, and histopathological correlation of lichenoid dermatoses","authors":"P. Reddy, T. Sumathy, A. Shyamprasad, K. Shivaswamy, M. Suparna","doi":"10.4103/ijdpdd.ijdpdd_71_18","DOIUrl":"https://doi.org/10.4103/ijdpdd.ijdpdd_71_18","url":null,"abstract":"Context: Lichenoid disorders are diverse, and the use of a noninvasive tool like dermoscopy could highlight the pathology in the deeper skin. The present study aimed to compare the accuracy of clinical and dermoscopic findings with histopathology in making a diagnosis of lichenoid dermatoses. Settings and Design: This is a prospective cross-sectional observational study of consecutive, clinically suspected cases of lichenoid skin eruption. Subjects and Methods: Forty patients with various clinical features and dermoscopic features were enrolled. Skin biopsy was taken from all the cases, and the clinical, dermoscopic, and the histopathological correlation was made. Results: Classical lichen planus (CLP) was the most common entity reported (30%), followed by hypertrophic LP (HLP) (15%) and lichen nitidus (15%). Radiating lines were the most common structures seen in as compared with HLP. Comedo-like lesions were significantly seen in HLP than CLP. Compact hyperkeratosis was seen in 66.67% of CLP and in all cases of HLP. There was a significant association in HLP, between blue and black structures on dermoscopy as compared with pigmented melanophages in dermoscopy. Chi-square test was used as a method of comparison, and SPSS Inc. Released 2009. PASW Statistics for Windows, Version 18.0. Chicago: SPSS Inc. was used. Conclusion: Dermoscopic findings give a vital clue about the underlying histopathology which can aid a physician in his/her diagnosis.","PeriodicalId":423971,"journal":{"name":"Indian Journal of Dermatopathology and Diagnostic Dermatology","volume":"116 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134564865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Mythreyi, Adikrishnan Swaminathan, A. Priyadarshini, S. Rangarajan, S. Murugan
{"title":"Endogenous ochronosis with keratoelastoidosis marginalis","authors":"R. Mythreyi, Adikrishnan Swaminathan, A. Priyadarshini, S. Rangarajan, S. Murugan","doi":"10.4103/ijdpdd.ijdpdd_50_18","DOIUrl":"https://doi.org/10.4103/ijdpdd.ijdpdd_50_18","url":null,"abstract":"Endogenous ochronosis is a manifestation of alkaptonuria, a rare metabolic disease due to homogentisic acid oxidase deficiency. Darkened urine and arthropathy are the other two components that complete the triad of alkaptonuria. Pigmentation of skin, the presenting feature, is common over the face and ears. A few cases of pigmentation of the palms and soles are reported. Here, we report a case of endogenous ochronosis presenting as keratoelastoidosis marginalis, which is a rare manifestation.","PeriodicalId":423971,"journal":{"name":"Indian Journal of Dermatopathology and Diagnostic Dermatology","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132728604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Srinivas, Kallappa Herakal, Srinivasa Murthy, Shwetha Suryanarayan
{"title":"Dermoscopy as an additional tool in a case of woolly hair with palmoplantar keratoderma","authors":"S. Srinivas, Kallappa Herakal, Srinivasa Murthy, Shwetha Suryanarayan","doi":"10.4103/ijdpdd.ijdpdd_76_18","DOIUrl":"https://doi.org/10.4103/ijdpdd.ijdpdd_76_18","url":null,"abstract":"Sir, Woolly hair is a rare congenital structural anomaly of the hair. It manifests as short kinked hair and can involve the other parts of the body, including the eyebrows, eyelashes, pubic, and axillary hair. Only a few cases of woolly hair have been reported in India. Four types of woolly hair have been described-hereditary woolly hair, familial woolly hair, woolly hair nevus, and symmetrical circumscribed allotrichia.[1] It can also be classified into syndromic or nonsyndromic forms of woolly hair.","PeriodicalId":423971,"journal":{"name":"Indian Journal of Dermatopathology and Diagnostic Dermatology","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133411917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}