Annular elastolytic giant cell granuloma of conjunctiva: A case report
Annular elastolytic giant cell granuloma is a condition characterized histologically by damaged elastic fibers associated with preponderance of giant cells along with absence of necrobiosis, lipid, mucin, and pallisading granuloma. It usually occurs on sun-damaged skin and hence the previous name ac...
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Format: | Article |
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Wolters Kluwer Medknow Publications
2014-01-01
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Series: | Indian Journal of Ophthalmology |
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Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=3;spage=361;epage=363;aulast=Konar |
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author | Karabi Konar Saurabh Sanyal Arindam Rakshit |
author_facet | Karabi Konar Saurabh Sanyal Arindam Rakshit |
author_sort | Karabi Konar |
collection | DOAJ |
description | Annular elastolytic giant cell granuloma is a condition characterized histologically by damaged elastic fibers associated with preponderance of giant cells along with absence of necrobiosis, lipid, mucin, and pallisading granuloma. It usually occurs on sun-damaged skin and hence the previous name actinic granuloma. A similar process occurs on the conjunctiva. Over the past three decades only four cases of conjunctival actinic granuloma have been documented. All the previous patients were females with lesions in nasal or temporal bulbar conjunctiva varying 2-3 mm in size. We report a male patient aged 70 years presenting with a 14 mm × 7 mm fleshy mass on right lower bulbar conjunctiva. Clinical differential diagnoses were lymphoma, squamous cell carcinoma in situ and amyloidosis. Surgical excision followed by histopathology confirmed it to be a case of actinic granuloma. This is the first case of isolated conjunctival actinic granuloma of such a large size reported from India. |
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issn | 0301-4738 1998-3689 |
language | English |
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publishDate | 2014-01-01 |
publisher | Wolters Kluwer Medknow Publications |
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series | Indian Journal of Ophthalmology |
spelling | doaj.art-35e4a9d691864fc09b96bfde673f02f02022-12-22T00:15:04ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892014-01-0162336136310.4103/0301-4738.121142Annular elastolytic giant cell granuloma of conjunctiva: A case reportKarabi KonarSaurabh SanyalArindam RakshitAnnular elastolytic giant cell granuloma is a condition characterized histologically by damaged elastic fibers associated with preponderance of giant cells along with absence of necrobiosis, lipid, mucin, and pallisading granuloma. It usually occurs on sun-damaged skin and hence the previous name actinic granuloma. A similar process occurs on the conjunctiva. Over the past three decades only four cases of conjunctival actinic granuloma have been documented. All the previous patients were females with lesions in nasal or temporal bulbar conjunctiva varying 2-3 mm in size. We report a male patient aged 70 years presenting with a 14 mm × 7 mm fleshy mass on right lower bulbar conjunctiva. Clinical differential diagnoses were lymphoma, squamous cell carcinoma in situ and amyloidosis. Surgical excision followed by histopathology confirmed it to be a case of actinic granuloma. This is the first case of isolated conjunctival actinic granuloma of such a large size reported from India.http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=3;spage=361;epage=363;aulast=Konar Clinical profileIndian populationoptic neuritis treatment trialoptic neuritis Decompression of the orbitdiplopiaorbitthyroid exophthalmosthyroid ophthalmopathy Limbus incisionsubconjunctival incisionsutureless manual small-incision cataract surgerywound constructionCentral retinal vein occlusionintravitrealbevacizumabintravitrealtriamcinolone acetonidemacular edema Contrast sensitivityfixationmicroperimeternormative dataretinal sensitivity Optical coherence tomographyoptic disc pitretinal detachmentretinoschisis Homocysteineretinal vein occlusionvisual impairment Diabetic macular edemamonocyte chemoattractant protein-1soluble intracellular adhesion molecule-1vascular endothelial growth factorCompressive optic neuropathyhumphrey visual fieldischemic optic neuropathymultifocal visual evoked potentialoptic neuritis Agebody mass indexgenderhigh density lipoproteinintraocular pressurelipid profilestotal cholesteroltriglyceride Capsular tension ringcataractintraocular lensmyopiaphacoemulsificationposterior capsular opacification EthnicityIndianmacular thicknessnormativeretinal nerve fiber layer Ocular torticollissuperior oblique palsysurgeryBarriers to follow-uppediatric cataractvisual outcomeCataractintracameral mydriatic solutionno preoperative mydriaticphacoemulsification Disc edemaneem oilputamentoxin-induced encephalopathyToxic Optic Neuropathy Secondary to Consumption of Neem Oil Absent thumbcraniofacial defectslimbal dermoidNager syndrome KeratitisRhodotorula spPolymerase chain reaction Atypicalcholesterol granulomaorbit Capsular block syndromeoptic neuropathyphacoemulsification Haptic fractureposterior chamber intraocular lens fracturespontaneous fractureBacterial conjunctivitisconjunctivitisgram negative diplococcusNeisseria siccanetilmicinAspergillosisendophthalmitisvitrectomyvoriconazoleEyelid retractionorbital infectionorbital neonatal abscessneonatal abscessDirofilariaintraocular dirofilaria worm Axenfeld-Rieger Syndromeanterior segment dysgenesisblepharophimosis ptosis epicanthus inversus syndromeglaucoma Actinic granulomaconjunctivagranuloma annularenecrobiosis lipoidica |
spellingShingle | Karabi Konar Saurabh Sanyal Arindam Rakshit Annular elastolytic giant cell granuloma of conjunctiva: A case report Indian Journal of Ophthalmology Clinical profile Indian population optic neuritis treatment trial optic neuritis Decompression of the orbit diplopia orbit thyroid exophthalmos thyroid ophthalmopathy Limbus incision subconjunctival incision sutureless manual small-incision cataract surgery wound construction Central retinal vein occlusion intravitrealbevacizumab intravitrealtriamcinolone acetonide macular edema Contrast sensitivity fixation microperimeter normative data retinal sensitivity Optical coherence tomography optic disc pit retinal detachment retinoschisis Homocysteine retinal vein occlusion visual impairment Diabetic macular edema monocyte chemoattractant protein-1 soluble intracellular adhesion molecule-1 vascular endothelial growth factor Compressive optic neuropathy humphrey visual field ischemic optic neuropathy multifocal visual evoked potential optic neuritis Age body mass index gender high density lipoprotein intraocular pressure lipid profiles total cholesterol triglyceride Capsular tension ring cataract intraocular lens myopia phacoemulsification posterior capsular opacification Ethnicity Indian macular thickness normative retinal nerve fiber layer Ocular torticollis superior oblique palsy surgery Barriers to follow-up pediatric cataract visual outcome Cataract intracameral mydriatic solution no preoperative mydriatic phacoemulsification Disc edema neem oil putamen toxin-induced encephalopathy Toxic Optic Neuropathy Secondary to Consumption of Neem Oil Absent thumb craniofacial defects limbal dermoid Nager syndrome Keratitis Rhodotorula sp Polymerase chain reaction Atypical cholesterol granuloma orbit Capsular block syndrome optic neuropathy phacoemulsification Haptic fracture posterior chamber intraocular lens fracture spontaneous fracture Bacterial conjunctivitis conjunctivitis gram negative diplococcus Neisseria sicca netilmicin Aspergillosis endophthalmitis vitrectomy voriconazole Eyelid retraction orbital infection orbital neonatal abscess neonatal abscess Dirofilaria intraocular dirofilaria worm Axenfeld-Rieger Syndrome anterior segment dysgenesis blepharophimosis ptosis epicanthus inversus syndrome glaucoma Actinic granuloma conjunctiva granuloma annulare necrobiosis lipoidica |
title | Annular elastolytic giant cell granuloma of conjunctiva: A case report |
title_full | Annular elastolytic giant cell granuloma of conjunctiva: A case report |
title_fullStr | Annular elastolytic giant cell granuloma of conjunctiva: A case report |
title_full_unstemmed | Annular elastolytic giant cell granuloma of conjunctiva: A case report |
title_short | Annular elastolytic giant cell granuloma of conjunctiva: A case report |
title_sort | annular elastolytic giant cell granuloma of conjunctiva a case report |
topic | Clinical profile Indian population optic neuritis treatment trial optic neuritis Decompression of the orbit diplopia orbit thyroid exophthalmos thyroid ophthalmopathy Limbus incision subconjunctival incision sutureless manual small-incision cataract surgery wound construction Central retinal vein occlusion intravitrealbevacizumab intravitrealtriamcinolone acetonide macular edema Contrast sensitivity fixation microperimeter normative data retinal sensitivity Optical coherence tomography optic disc pit retinal detachment retinoschisis Homocysteine retinal vein occlusion visual impairment Diabetic macular edema monocyte chemoattractant protein-1 soluble intracellular adhesion molecule-1 vascular endothelial growth factor Compressive optic neuropathy humphrey visual field ischemic optic neuropathy multifocal visual evoked potential optic neuritis Age body mass index gender high density lipoprotein intraocular pressure lipid profiles total cholesterol triglyceride Capsular tension ring cataract intraocular lens myopia phacoemulsification posterior capsular opacification Ethnicity Indian macular thickness normative retinal nerve fiber layer Ocular torticollis superior oblique palsy surgery Barriers to follow-up pediatric cataract visual outcome Cataract intracameral mydriatic solution no preoperative mydriatic phacoemulsification Disc edema neem oil putamen toxin-induced encephalopathy Toxic Optic Neuropathy Secondary to Consumption of Neem Oil Absent thumb craniofacial defects limbal dermoid Nager syndrome Keratitis Rhodotorula sp Polymerase chain reaction Atypical cholesterol granuloma orbit Capsular block syndrome optic neuropathy phacoemulsification Haptic fracture posterior chamber intraocular lens fracture spontaneous fracture Bacterial conjunctivitis conjunctivitis gram negative diplococcus Neisseria sicca netilmicin Aspergillosis endophthalmitis vitrectomy voriconazole Eyelid retraction orbital infection orbital neonatal abscess neonatal abscess Dirofilaria intraocular dirofilaria worm Axenfeld-Rieger Syndrome anterior segment dysgenesis blepharophimosis ptosis epicanthus inversus syndrome glaucoma Actinic granuloma conjunctiva granuloma annulare necrobiosis lipoidica |
url | http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=3;spage=361;epage=363;aulast=Konar |
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