Annular elastolytic giant-cell granuloma

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Annular elastolytic giant-cell granuloma
SpecialtyDermatology Edit this on Wikidata

Annular elastolytic giant-cell granuloma (also known as "Giant cell elastophagocytosis,"[1] "Meischer's granuloma,"[2] "Miescher's granuloma of the face"[1]) is a cutaneous condition characterized histologically by a dermal infiltrate of macrophages.[1][2]: 706 

Signs and symptoms

The most common presentation of annular elastolytic giant-cell granuloma is one or more annular or ring-shaped patches with elevated borders, atrophy, and central hypopigmentation. Generalized papular lesions may also be observed.[3][4] Although it sporadically affects covered areas as well, annular elastolytic giant-cell granuloma is generally thought to be a disease that primarily affects sun-exposed areas.[5][6]

Diagnosis

elastolysis,  and multinucleate giant cells devoid of or reduced in elastin fibers. Other hallmarks of the histopathology include the lack of mucin deposition and collagen necrobiosis.[7]

Treatment

The handling of these cases is debatable, with differing results from topical treatments using tacrolimus, retinoids, and corticosteroids, and systemic treatments using methotrexate, isotretinoin, clofazimine, acitretin, and hydroxychloroquine.[8]

See also

References

External links