Indian Journal of Dermatopathology and Diagnostic Dermatology

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 6  |  Issue : 1  |  Page : 25--29

A clinicopathological study of facial granulomatous dermatoses: A hospital-based study


Mahesh Mathur, Alina Karki, Prakash Acharya, Ayush Jha 
 Department of Dermatology, College of Medical Sciences, Bharatpur, Nepal

Correspondence Address:
Dr. Alina Karki
Department of Dermatology, College of Medical Sciences, P. O. Box 23, Bharatpur
Nepal

Background: Granulomatous dermatoses of various types, etiologies, and clinical features frequently present with similar clinicopathological features which create a dilemma and diagnostic challenge for experts. Early diagnosis of facial lesions is of prime concern due to potential social stigma and psychological stress because of cosmetic disfigurement. Objective: To study the epidemiological and clinicopathological features of various granulomatous facial skin lesions and their concordance rate. Materials and Methods: A retrospective, hospital-based study was carried out at the Department of Dermatology, College of Medical Sciences, Bharatpur, over a period of 5 years (January 2013–January 2018). All clinically suspected cases of facial granulomatous dermatoses were included, their clinical and histological findings were recorded and analyzed according to the standard protocol, and a clinicopathological correlation was ascertained. Results: Among 850 skin biopsies performed during the study, 30 cases were clinically suspected as facial granulomatous dermatoses. There was female predominance (n = 22, 73.33%), and the mean age of patients was 41.7 years. Majority of cases (n = 29, 96.66%) were of infectious origin with leprosy as predominant cause (n = 25, 83.33%), followed by cutaneous tuberculosis (n = 4, 13.33%). Histologically, epithelioid cell granulomas (n = 26, 86.67%) and histiocytic granuloma (n = 3, 10%) were observed. Fite Faraco stain was positive in 6 (20%) cases of leprosy. An overall concordance rate of 80% was observed in facial granulomatous dermatoses in our study. Conclusion: In our study, infectious etiology is the most common cause of facial granulomatous dermatoses. Among infections, leprosy is the most common.


How to cite this article:
Mathur M, Karki A, Acharya P, Jha A. A clinicopathological study of facial granulomatous dermatoses: A hospital-based study.Indian J Dermatopathol Diagn Dermatol 2019;6:25-29


How to cite this URL:
Mathur M, Karki A, Acharya P, Jha A. A clinicopathological study of facial granulomatous dermatoses: A hospital-based study. Indian J Dermatopathol Diagn Dermatol [serial online] 2019 [cited 2019 Jul 16 ];6:25-29
Available from: http://www.ijdpdd.com/article.asp?issn=WKMP-0052;year=2019;volume=6;issue=1;spage=25;epage=29;aulast=Mathur;type=0