DISTRIBUTION OF HISTOPATHOLOGICAL VARIANTS OF CUTANEOUS GRANULOMATOUS INFLAMMATION

Background: A granuloma is defined as a circumscribed collection of modified macrophages with scattered giant cells and lymphocytes. It represents a cell mediated (type IV) hypersensitivity reaction. The objective of this study was to determine the pattern of different cutaneous granulomas. Mat...

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Main Authors: Mohammad Sajjad Khattak, Sajjad Ahmad, Mushtaq Ahmad
Format: Article
Language:English
Published: Gomal Medical College, D.I.Khan, Pakistan 2017-12-01
Series:Gomal Journal of Medical Sciences
Subjects:
Online Access:http://gjms.com.pk/ojs24/index.php/gjms/article/view/1352
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author Mohammad Sajjad Khattak
Sajjad Ahmad
Mushtaq Ahmad
author_facet Mohammad Sajjad Khattak
Sajjad Ahmad
Mushtaq Ahmad
author_sort Mohammad Sajjad Khattak
collection DOAJ
description Background: A granuloma is defined as a circumscribed collection of modified macrophages with scattered giant cells and lymphocytes. It represents a cell mediated (type IV) hypersensitivity reaction. The objective of this study was to determine the pattern of different cutaneous granulomas. Material & Methods: This cross-sectional study was conducted in Pathology Department, Bannu Medical College, Bannu, KPK, Pakistan. The biopsies were collected from different hospitals of the area with relevant clinical information and supportive laboratory tests. Eighty six biopsies of cutaneous granulomatous inflammation from various anatomical locations were analyzed. Demographic variables were sex, age in years and age groups including 10-20, 21-30, 31-40, 41-50, 51-60 and 61-70 years. Research variables were; types of cutaneous granuloma with attributes of tuberculous granuloma, cutaneous leishmaniasis, fungal granuloma, foreign body granuloma, leprosy, sarcoid granuloma, malakoplakia and necrobiotic granuloma. Inclusion criteria was all biopsies of cutaneous granulomatous inflammation of any age, sex and location in body. Exclusion criteria was insufficient biopsy material, autolysed specimen and granulomas from sites other than of cutaneous location. Numeric variables were calculated with mean and SD whereas categorical as frequency and percentages. SPSS version 20 was used for analysis. Results: Out of a total of 86 cases of cutaneous granulomatous tissue biopsies, male to female ratio was 1.2:1. The age range was from 10- 70 years with mean age 34.47±13.55 years, The commonest age group was 21-30 years with 39 cases (45.38%) followed by 31-40 years with 28 (32-55%) cases. The most common type of granuloma was tuberculous granulomas 63 (73.28%) followed by granuloma of cutaneous leishmaniasis 08 (9.30%), fungal granulomas 05 (5.81%), foreign body granulomas 04 (4.65%), leprosy 03 (3.84%) and one each (1.16%) of necrobiotic granuloma, sarcoid granuloma and malakoplakia. Conclusion: The tuberculous granulomas are the commonest granulomas in district Bannu, Pakistan, specially in 21-40 years of age.
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spelling doaj.art-585ef8c948b344c386b19ec04c6bd7302022-12-21T20:08:17ZengGomal Medical College, D.I.Khan, PakistanGomal Journal of Medical Sciences1819-79731997-20672017-12-01152933DISTRIBUTION OF HISTOPATHOLOGICAL VARIANTS OF CUTANEOUS GRANULOMATOUS INFLAMMATIONMohammad Sajjad Khattak0Sajjad Ahmad1Mushtaq Ahmad2PATHOLOGY BANNU MEDICAL COLLEGE BANNU KPK. PAKISTAN.Gomal Medical College, DIKhanBacha Khan Medical College, Mardan, Pakistan.Background: A granuloma is defined as a circumscribed collection of modified macrophages with scattered giant cells and lymphocytes. It represents a cell mediated (type IV) hypersensitivity reaction. The objective of this study was to determine the pattern of different cutaneous granulomas. Material & Methods: This cross-sectional study was conducted in Pathology Department, Bannu Medical College, Bannu, KPK, Pakistan. The biopsies were collected from different hospitals of the area with relevant clinical information and supportive laboratory tests. Eighty six biopsies of cutaneous granulomatous inflammation from various anatomical locations were analyzed. Demographic variables were sex, age in years and age groups including 10-20, 21-30, 31-40, 41-50, 51-60 and 61-70 years. Research variables were; types of cutaneous granuloma with attributes of tuberculous granuloma, cutaneous leishmaniasis, fungal granuloma, foreign body granuloma, leprosy, sarcoid granuloma, malakoplakia and necrobiotic granuloma. Inclusion criteria was all biopsies of cutaneous granulomatous inflammation of any age, sex and location in body. Exclusion criteria was insufficient biopsy material, autolysed specimen and granulomas from sites other than of cutaneous location. Numeric variables were calculated with mean and SD whereas categorical as frequency and percentages. SPSS version 20 was used for analysis. Results: Out of a total of 86 cases of cutaneous granulomatous tissue biopsies, male to female ratio was 1.2:1. The age range was from 10- 70 years with mean age 34.47±13.55 years, The commonest age group was 21-30 years with 39 cases (45.38%) followed by 31-40 years with 28 (32-55%) cases. The most common type of granuloma was tuberculous granulomas 63 (73.28%) followed by granuloma of cutaneous leishmaniasis 08 (9.30%), fungal granulomas 05 (5.81%), foreign body granulomas 04 (4.65%), leprosy 03 (3.84%) and one each (1.16%) of necrobiotic granuloma, sarcoid granuloma and malakoplakia. Conclusion: The tuberculous granulomas are the commonest granulomas in district Bannu, Pakistan, specially in 21-40 years of age.http://gjms.com.pk/ojs24/index.php/gjms/article/view/1352tuberculous granulomasforeign body granulomasarcoid granulomahistopathology.
spellingShingle Mohammad Sajjad Khattak
Sajjad Ahmad
Mushtaq Ahmad
DISTRIBUTION OF HISTOPATHOLOGICAL VARIANTS OF CUTANEOUS GRANULOMATOUS INFLAMMATION
Gomal Journal of Medical Sciences
tuberculous granulomas
foreign body granuloma
sarcoid granuloma
histopathology.
title DISTRIBUTION OF HISTOPATHOLOGICAL VARIANTS OF CUTANEOUS GRANULOMATOUS INFLAMMATION
title_full DISTRIBUTION OF HISTOPATHOLOGICAL VARIANTS OF CUTANEOUS GRANULOMATOUS INFLAMMATION
title_fullStr DISTRIBUTION OF HISTOPATHOLOGICAL VARIANTS OF CUTANEOUS GRANULOMATOUS INFLAMMATION
title_full_unstemmed DISTRIBUTION OF HISTOPATHOLOGICAL VARIANTS OF CUTANEOUS GRANULOMATOUS INFLAMMATION
title_short DISTRIBUTION OF HISTOPATHOLOGICAL VARIANTS OF CUTANEOUS GRANULOMATOUS INFLAMMATION
title_sort distribution of histopathological variants of cutaneous granulomatous inflammation
topic tuberculous granulomas
foreign body granuloma
sarcoid granuloma
histopathology.
url http://gjms.com.pk/ojs24/index.php/gjms/article/view/1352
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