Actinic granuloma over photo exposed and covered parts

Authors

  • Bhavya Mani K 2nd year MD resident, Department of DVL, Dr. PSIMS & RF, Gannavaram, AP, India
  • Haritha Thiruveedhula Professor, Department of DVL, Dr. PSIMS & RF, Gannavaram, AP, India
  • Haritha Samanthula Professor and Head of Department, Department of DVL, Dr. PSIMS & RF, Gannavaram, AP, India

DOI:

https://doi.org/10.66344/jpad.33.1.2023.2022

Keywords:

Photoexposed, annular, granuloma

Abstract

Actinic granuloma, also known as an annular elastolytic giant cell granuloma variant, is a chronic granulomatous condition. It is relatively a rare condition triggered by various factors like prolonged exposure to the sun, which initiate an immune response leading to changes in elastic tissue. We report a 69-year-old man who presented with a complaint of a reddish ring-like rash over both thighs, inner aspect of right elbow, back of the neck for two months. He was treated with topical tacrolimus for two months and responded well. The clinical picture of actinic granuloma is similar to that of granuloma annulare; hence they should be differentiated from each other based on histopathology. The histopathological picture of actinic granuloma mainly shows elastolysis, elastophagocytosis, and multinucleate giant cells

References

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O’Brien JP. Actinic granuloma. An annular connective tissue disorder affecting sun and heat damaged (elastotic) skin. Arch Dermatol. 1975;111:460-6.

Wang C-Y, Pujol RM, Lee W-H, Su W-P. Annular elastolytic granuloma: a clinicopathologic study of 15 cases and a literature review. Dermatol-Sinica. 1996; 14:51-64.

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Al-Hoqail IA, Al-Ghamdi AM, Martinka M, Crawford RI. Actinic granuloma is a unique and distinct entity. Am J Dermatopathol. 2002;24:209-12.

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Published

2023-03-05

How to Cite

1.
K BM, Thiruveedhula H, Samanthula H. Actinic granuloma over photo exposed and covered parts. J Pak Assoc Dermatol [Internet]. 2023Mar.5 [cited 2026Apr.12];33(1):339-41. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/2022

Issue

Vol. 33 No. 1 (2023): January-March

Section

Case Reports

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