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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Main Authors: Karabi Konar, Saurabh Sanyal, Arindam Rakshit
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Age
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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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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