|Year : 2016 | Volume
| Issue : 3 | Page : 222-223
SkIndia Quiz 25: A solitary nodule on the right buttock
Reza Yaghoobi1, Nasim Afshar1, Maryam Aliabdi1, Marigdalia K Ramirez-Fort2, Amir Feily3
1 Department of Dermatology, Jundishapur University of Medical Sciences, Ahvaz, Iran
2 Department of Dermatology, Tufts Medical Center, Boston, MA, USA
3 Department of Dermatology, Jahrom University of Medical Sciences, Jahrom, Iran
|Date of Web Publication||13-May-2016|
Department of Dermatology, Jahrom University of Medical Sciences, Jahrom
Source of Support: None, Conflict of Interest: None
| Abstract|| |
Granuloma faciale (GF) is a benign, chronic inflammatory disorder, characterized by reddish brown plaques with prominent follicular orifices and telangeictasia, usually occurring over the face. The condition often presents a problem in differential diagnosis. Herein we describe a case of GF with an unusual diascopic finding of an apple jelly appearance on diascopy.
Keywords: Apple jelly nodule, diascopy, granuloma faciale
|How to cite this article:|
Yaghoobi R, Afshar N, Aliabdi M, Ramirez-Fort MK, Feily A. SkIndia Quiz 25: A solitary nodule on the right buttock. Indian Dermatol Online J 2016;7:222-3
|How to cite this URL:|
Yaghoobi R, Afshar N, Aliabdi M, Ramirez-Fort MK, Feily A. SkIndia Quiz 25: A solitary nodule on the right buttock. Indian Dermatol Online J [serial online] 2016 [cited 2019 Oct 16];7:222-3. Available from: http://www.idoj.in/text.asp?2016/7/3/222/178134
| Report of a Case|| |
A 31-year-old otherwise healthy female presented with a six month history of a slowly growing solitary nodule on her right buttock. On physical examination there was a solitary firm, fixed, red to violaceous nodule with a diameter of 5 mm × 8 mm on the right buttock [Figure 1]. The overlying skin appeared slightly eroded with some surface maceration. There was a history of occasional bleeding with minor trauma, but no history of tenderness was mentioned. Physical examination was unremarkable. The lesion was completely excised and sent for histological examination.
| Microscopic Findings and Clinical Course|| |
Histological examination demonstrates a solitary, dilated, cystic, dermal nodule with papillary projections toward the luminal spaces. The lumina was lined with a double layer of cells consisting of an inner layer of secretory cells and an outer layer of small cuboidal cells. A portion of the luminal cells showed evidence of decapitation secretion. The tumor was completely separated from the epidermal surface [Figure 2],[Figure 3],[Figure 4].
|Figure 2: Tumor is surrounded by a fibrous capsule of connective tissue and composed of cystic space and papillary projections (H and E, ×40)|
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|Figure 3: Cystic and tubular structures lined with double layer of cells (H and E, ×100)|
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|Figure 4: The inner columnar cells show evidence of active decapitation secretion. (H and E, ×400)|
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| What Is Your Diagnosis?|| |
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[Figure 1], [Figure 2], [Figure 3], [Figure 4]