Iranian Journal of Pathology

Clinico-Pathological Study of Cutaneous Granulomatous Lesions- a 5 yr Experience in a Tertiary Care Hospital in India

Document Type : Original Research

Authors

Srabani Chakrabarti 1
Subrata Pal 1
Biplab Biswas 2
Kingshuk Bose 2
Saswati Pal 3
Swapan Pathak 4

1 Dept. of Pathology, College of Medicine and Sagore, Dutta Hospital.Kolkata, India.

2 Dept. of Pathology, Bankura Sammilani Medical College, Bankura, India.

3 Dept. of Pathology, NRS Medical College, Kolkata, India.

4 Dept. of Pathology, Calcutta National Medical College, Kolkata. India.

Abstract
Background: Granulomatous dermatoses are common skin pathology, often need histopathological confirmation for diagnosis. Histologically six sub-types of granulomas found in granulomatous skin diseases- tuberculoid, sarcoidal, necrobiotic, suppurative, foreign body & histoid type. The aims of the present study were clinico-pathological evaluation of granulomatous skin lesions and their etiological classification based on histopathological examination.
Methods: It was a five years (Jan 2009- Dec 2013) retrospective study involving all the skin biopsies. Detailed clinical and histopathological features were analyzed and granulomatous skin lesions were categorized according to type of granuloma & etiology. Special stains were used in few cases for diagnostic purpose.
Results: Among 1280 skin biopsies, 186 cases (14.53%) were granulomatous skin lesions with a ratio 1:24. In histopathological sub-typing, tuberculoid granuloma was most common type (126 cases, 67.74%). Most common etiology of granuloma in the study was leprosy (107 cases, 57.52%). Other etiologies were cutaneous tuberculosis, foreign body granulomas, fungal lesions, cutaneous leishmaniasis, sarcoidosis and granuloma annulare.
Conclusion: Histopathology is established as gold standard investigation for diagnosis, categorization and clinico-pathological correlation of granulomatous skin lesions. 

Highlights

How to cite this article:
Chakrabarti S, Pal S, Biswas B, Bose K, Pal S, Pathak S. Clinico-Pathological Study of Cutaneous Granulomatous Lesions- a 5 yr Experience in a Tertiary Care Hospital in India. Iran J Pathol 2016; 11(1):54-60.

Keywords

Granuloma
Histopathology
skin biopsy

Subjects

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  • Receive Date 28 October 2014
  • Revise Date 01 January 2015
  • Accept Date 15 January 2015

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