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Ramesh H, Somashekhar S, Kanathur S. Lichens in dermatology. Indian J Dermatol Venereol Leprol 2023; 89:908-915. [PMID: 37067120 DOI: 10.25259/ijdvl_794_2021] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Accepted: 06/29/2022] [Indexed: 03/30/2023]
Affiliation(s)
- Heera Ramesh
- Department of Dermatology, Venereology and Leprosy, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India
| | - Sachin Somashekhar
- Department of Dermatology, Venereology and Leprosy, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India
| | - Shilpa Kanathur
- Department of Dermatology, Venereology and Leprosy, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India
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2
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“Lichenoid Granulomatous Pattern” in a Case of Lupus Vulgaris. Dermatopathology (Basel) 2022; 9:131-135. [PMID: 35645227 PMCID: PMC9149875 DOI: 10.3390/dermatopathology9020016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2022] [Revised: 04/01/2022] [Accepted: 04/18/2022] [Indexed: 12/04/2022] Open
Abstract
Lupus vulgaris is a one of the most common skin infections in the Indian subcontinent. Even today, it often creates a diagnostic dilemma for both clinicians and histopathologists. We describe a case of lupus vulgaris that showed lichenoid granulomatous inflammation in the dermis. This pattern is not uncommon, but is rarely described in the literature as newer modalities currently take precedence in diagnosis. Our aim is to make clinicians and dermatopathologists aware of this pattern of inflammation seen in this common infection.
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3
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Cheng YC, Yao CA, Lo Y. Lichenoid sarcoidosis: An unusual variant of sarcoidosis. Kaohsiung J Med Sci 2021; 37:434-435. [PMID: 33398920 DOI: 10.1002/kjm2.12350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Accepted: 12/06/2020] [Indexed: 11/11/2022] Open
Affiliation(s)
- Yu-Chun Cheng
- Department of Dermatology, Cathay General Hospital, Taipei, Taiwan
| | - Chun-An Yao
- Department of Dermatology, Cathay General Hospital, Taipei, Taiwan
| | - Yang Lo
- Department of Dermatology, Cathay General Hospital, Taipei, Taiwan
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4
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Sinha P, Bhattacharjee S, Raman DK, Sood A. A Rare Case of Lichenoid Sarcoidosis Mimicking Papular Amyloidosis. Indian J Dermatol 2020; 65:50-52. [PMID: 32029941 PMCID: PMC6986134 DOI: 10.4103/ijd.ijd_501_18] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Cutaneous lesions in sarcoidosis are seen in nearly 20–30% and include lesions like papules, nodules, plaques, infiltrated scars, and erythema nodosum. Lichenoid variants of cutaneous sarcoidosis, a type of papular variant is quite rare. Herein we report a case of lichenoid sarcoidosis in a 40-year-old male who presented with raised itchy lesions over his legs and lower back of 8 years duration.
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Affiliation(s)
- Preema Sinha
- Department of Dermatology, Armed Forces Medical College, Pune, Maharashtra, India
| | - Saikat Bhattacharjee
- Department of Dermatology, Armed Forces Medical College, Pune, Maharashtra, India
| | - Deep Kumar Raman
- Department of Dermatology, Armed Forces Medical College, Pune, Maharashtra, India
| | - Aradhana Sood
- Department of Dermatology, Armed Forces Medical College, Pune, Maharashtra, India
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Hakeem A, Bhattacharyya I, Aljabri M, Bindakhil M, Pachigar K, Islam MN, Cohen DM, Fitzpatrick SG. Lichenoid reaction with granulomatous stomatitis: A retrospective histologic study of 47 patients. J Oral Pathol Med 2019; 48:846-854. [PMID: 31228223 DOI: 10.1111/jop.12918] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2019] [Revised: 05/20/2019] [Accepted: 05/30/2019] [Indexed: 11/26/2022]
Abstract
OBJECTIVES Lichenoid granulomatous reaction can be subcategorized into lichenoid granulomatous dermatitis or lichenoid granulomatous stomatitis. It is described in the literature as demonstrating a band-like lichenoid infiltration with clusters of histiocytic or granuloma formation. In this study, we presented a large case series of lichenoid granulomatous stomatitis including demographics, histological features, and subcategories and compared findings with current literature. METHODS AND MATERIALS We retrieved all cases diagnosed with lichenoid reaction with granulomatous inflammation between January 1, 2000, and August 1, 2016, from the University of Florida Oral Pathology Biopsy Service Archives. RESULTS A total of 47 patients with tissue from 50 biopsy sites were included. The majority of the cases were noted in females (64%) with a mean age of 59 years (range 30-88). Most patients were Caucasian, and the most common sites in descending order were: gingiva, buccal mucosa, vestibule, tongue, lip, palate, and occasional multifocal involvement. Clinical impressions by the treating clinicians included leukoplakia, dysplasia, carcinoma in situ, squamous cell carcinoma, lichen planus, vesiculobullous disease, trauma, and allergy. The histologic features of these cases ranged from lichenoid mucositis with numerous aggregates of histiocytes to well-formed granulomas, in accordance with previous classifications of similar dermatologic lesions. All cases revealed positive CD 68 in the histiocytic infiltrates and were negative for microorganisms utilizing acid-fast bacilli, Grocott methenamine-silver, and periodic acid-Schiff stains. CONCLUSION Lichenoid granulomatous disease may be more common than previously reported; however, its etiology remains unknown and patients should be kept under long-term clinical follow-up.
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Affiliation(s)
- Abdulaziz Hakeem
- Department of Oral and Maxillofacial Diagnostic Sciences, University of Florida College of Dentistry, Gainesville, FL, USA
| | - Indraneel Bhattacharyya
- Department of Oral and Maxillofacial Diagnostic Sciences, University of Florida College of Dentistry, Gainesville, FL, USA
| | - Mohammed Aljabri
- Department of Oral and Maxillofacial Diagnostic Sciences, University of Florida College of Dentistry, Gainesville, FL, USA
| | - Mohammed Bindakhil
- Department of Oral and Maxillofacial Diagnostic Sciences, University of Florida College of Dentistry, Gainesville, FL, USA
| | - Krunal Pachigar
- Department of Oral and Maxillofacial Diagnostic Sciences, University of Florida College of Dentistry, Gainesville, FL, USA
| | - Mohammed N Islam
- Department of Oral and Maxillofacial Diagnostic Sciences, University of Florida College of Dentistry, Gainesville, FL, USA
| | - Donald M Cohen
- Department of Oral and Maxillofacial Diagnostic Sciences, University of Florida College of Dentistry, Gainesville, FL, USA
| | - Sarah G Fitzpatrick
- Department of Oral and Maxillofacial Diagnostic Sciences, University of Florida College of Dentistry, Gainesville, FL, USA
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6
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El-Enany G, M Fawzy M, Abdel-Halim MRE, El-Nabarawy E, El-Tawdy A, Abdel-Latif M, A Abdelkader H, Doss S, El-Sayed H. Lichenoid papules in the periorbital area. Int J Dermatol 2019; 58:905-907. [PMID: 30839099 DOI: 10.1111/ijd.14427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Galal El-Enany
- Dermatopathology Unit, Dermatology Department, Kasr Al Aini Hospital, Cairo University, Cairo, Egypt
| | - Marwa M Fawzy
- Dermatopathology Unit, Dermatology Department, Kasr Al Aini Hospital, Cairo University, Cairo, Egypt
| | - Mona R E Abdel-Halim
- Dermatopathology Unit, Dermatology Department, Kasr Al Aini Hospital, Cairo University, Cairo, Egypt
| | - Eman El-Nabarawy
- Dermatopathology Unit, Dermatology Department, Kasr Al Aini Hospital, Cairo University, Cairo, Egypt
| | - Amira El-Tawdy
- Dermatopathology Unit, Dermatology Department, Kasr Al Aini Hospital, Cairo University, Cairo, Egypt
| | - Mostafa Abdel-Latif
- Dermatopathology Unit, Dermatology Department, Kasr Al Aini Hospital, Cairo University, Cairo, Egypt
| | - Heba A Abdelkader
- Dermatopathology Unit, Dermatology Department, Kasr Al Aini Hospital, Cairo University, Cairo, Egypt
| | - Sally Doss
- Dermatopathology Unit, Dermatology Department, Kasr Al Aini Hospital, Cairo University, Cairo, Egypt
| | - Hagar El-Sayed
- Dermatopathology Unit, Dermatology Department, Kasr Al Aini Hospital, Cairo University, Cairo, Egypt
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7
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Tewari A, Natkunarajah J. Orange-red plaques in an older patient. BMJ 2019; 364:l2. [PMID: 30679165 DOI: 10.1136/bmj.l2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Angela Tewari
- Department of dermatology, Kingston Hospital, London, UK
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8
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[Annular sarcoidosis]. Presse Med 2017; 46:974-975. [PMID: 28734638 DOI: 10.1016/j.lpm.2017.06.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2016] [Revised: 05/23/2017] [Accepted: 06/27/2017] [Indexed: 11/24/2022] Open
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Khullar G, De D, Saikia UN, Handa S. An unusual case of idiopathic localized giant cell lichenoid dermatitis. J Cutan Pathol 2017; 44:722-723. [PMID: 28589594 DOI: 10.1111/cup.12960] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2016] [Revised: 04/23/2017] [Accepted: 05/08/2017] [Indexed: 11/29/2022]
Affiliation(s)
- Geeti Khullar
- Departments of Dermatology, Venereology and Leprology and Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Dipankar De
- Departments of Dermatology, Venereology and Leprology and Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Uma Nahar Saikia
- Departments of Dermatology, Venereology and Leprology and Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Sanjeev Handa
- Departments of Dermatology, Venereology and Leprology and Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Paravina M, Ljubenović M, Stanojević M, Stepanović M, Marković D. Cutaneous Sarcoidosis in a patient with left Hilar calcification of the lungs - A Case Report. SERBIAN JOURNAL OF DERMATOLOGY AND VENEREOLOGY 2016. [DOI: 10.1515/sjdv-2016-0014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
AbstractSarcoidosis is an acquired idiopathic granulomatous disease, which is characterized by noncaseating epithelioid granulomas in organs and tissues. Most frequently it affects the lungs, liver, lymph nodes, skin, eyes and other organs. The cutaneous lesions appear in 20 - 30% of patients with systemic manifestations, and in 25% of them they appear without systemic manifestations. Based on the histopathological characteristics, cutaneous lesions are divided into specific, characterized by cutaneous granuloma, and non-specific, which are not granulomatous. Moreover, they can be classified as typical and atypical. We are presenting a female patient with unilateral hilar calcification of the lungs, who exhibited plaque skin lesions typical for sarcoidosis, with a specific granulomatous histology and a favorable response to corticosteroid and antimalarial therapy.
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Abstract
Sarcoidosis is a systemic granulomatous disorder of unknown aetiology. Its dermatological manifestations are extremely polymorphous. They are normally classed as either specific lesions, comprising granulomas, which are generally chronic, or non-specific lesions, principally acute erythema nodosum. These signs are seen in around 25% of sarcoidosis patients. The disease may be heralded by a skin disorder. Diagnosis of cutaneous sarcoidosis provides the clinician with three problems: screening for a visceral site of the disease, determination of the prognosis, and long-term management with regular monitoring coupled with suitable therapy in the event of cosmetic or functional impairment.
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Affiliation(s)
- V Descamps
- Service de dermatologie, Hôpitaux universitaires Paris-Nord Val-de-Seine, Hôpital Bichat-Claude-Bernard, Université Paris-Diderot, 46, rue Henri-Huchard, 75018 Paris, France.
| | - F Bouscarat
- Service de dermatologie, Hôpitaux universitaires Paris-Nord Val-de-Seine, Hôpital Bichat-Claude-Bernard, Université Paris-Diderot, 46, rue Henri-Huchard, 75018 Paris, France
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Hayakawa J, Mizukawa Y, Kurata M, Shiohara T. A syringotropic variant of cutaneous sarcoidosis: Presentation of 3 cases exhibiting defective sweating responses. J Am Acad Dermatol 2013; 68:1016-21. [DOI: 10.1016/j.jaad.2012.11.039] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2012] [Revised: 10/30/2012] [Accepted: 11/08/2012] [Indexed: 10/27/2022]
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Mañá J, Marcoval J. Skin manifestations of sarcoidosis. Presse Med 2012; 41:e355-74. [DOI: 10.1016/j.lpm.2012.02.046] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2011] [Revised: 01/27/2012] [Accepted: 02/02/2012] [Indexed: 01/24/2023] Open
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Tchernev G, Patterson JW, Nenoff P, Horn LC. Sarcoidosis of the skin â A dermatological puzzle: important differential diagnostic aspects and guidelines for clinical and histopathological recognition. J Eur Acad Dermatol Venereol 2010; 24:125-37. [DOI: 10.1111/j.1468-3083.2009.03396.x] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Abstract
Sarcoidosis is a systemic inflammatory disorder characterized histologically by noncaseating granulomas in affected organs. Cutaneous manifestations of the disease such as papules, nodules, plaques, and ulcerations occur in approximately 25% of the patients. Sarcoidosis can present with multiple different morphologies including annular, psoriasiform, ichthyosiform, morpheaform, and verrucous. In this study, we report a 30-year-old African American man with a history of spinal tuberculosis as a child and slowly enlarging verrucous nodules that appeared at the age of 5 years. After an extensive infectious disease evaluation, the diagnosis of verrucous sarcoidosis was established with the presence of noncaseating granulomas and a completely negative workup for infectious etiologies.
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