Granuloma multiforme: an uncommon differential for leprosy

Shibani Bhatia; Shrutakirthi D. Shenoi; Kanthilatha Pai; P. S. Srilatha

doi:10.1177/0049475518803191

Granuloma multiforme: an uncommon differential for leprosy

Shibani Bhatia, Shrutakirthi D. Shenoi, Kanthilatha Pai, P. S. Srilatha

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

Granuloma multiforme (GM) is a chronic granulomatous skin condition which is clinically characterised by annular lesions mainly over sun-exposed areas and histologically by focal necrobiosis and histiocytic granulomas. Its significance lies in the fact that it can clinically resemble tuberculoid leprosy and hence it can be missed. Here, we report a case of GM from India in a 55-year-old female agriculturist, with multiple asymptomatic large annular rings of papules over the photo-distributed areas. Histopathology helps in confirming the diagnosis and in differentiating it from similar clinical and histologic mimics such as granuloma annulare, tuberculoid leprosy, interstitial granulomatous dermatitis or annular sarcoid. Though a high degree of suspicion is needed to diagnose GM, it should be considered as a differential for various annular conditions.

Original language	English
Pages (from-to)	55-58
Number of pages	4
Journal	Tropical Doctor
Volume	49
Issue number	1
DOIs	https://doi.org/10.1177/0049475518803191
Publication status	Published - 01-01-2019

All Science Journal Classification (ASJC) codes

Public Health, Environmental and Occupational Health
Infectious Diseases

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1177/0049475518803191

Cite this

@article{8b9d36d7a1db40b091c34b72bbb2b474,

title = "Granuloma multiforme: an uncommon differential for leprosy",

abstract = "Granuloma multiforme (GM) is a chronic granulomatous skin condition which is clinically characterised by annular lesions mainly over sun-exposed areas and histologically by focal necrobiosis and histiocytic granulomas. Its significance lies in the fact that it can clinically resemble tuberculoid leprosy and hence it can be missed. Here, we report a case of GM from India in a 55-year-old female agriculturist, with multiple asymptomatic large annular rings of papules over the photo-distributed areas. Histopathology helps in confirming the diagnosis and in differentiating it from similar clinical and histologic mimics such as granuloma annulare, tuberculoid leprosy, interstitial granulomatous dermatitis or annular sarcoid. Though a high degree of suspicion is needed to diagnose GM, it should be considered as a differential for various annular conditions.",

author = "Shibani Bhatia and Shenoi, {Shrutakirthi D.} and Kanthilatha Pai and Srilatha, {P. S.}",

year = "2019",

month = jan,

day = "1",

doi = "10.1177/0049475518803191",

language = "English",

volume = "49",

pages = "55--58",

journal = "Tropical Doctor",

issn = "0049-4755",

publisher = "SAGE Publications Ltd",

number = "1",

}

TY - JOUR

T1 - Granuloma multiforme

T2 - an uncommon differential for leprosy

AU - Bhatia, Shibani

AU - Shenoi, Shrutakirthi D.

AU - Pai, Kanthilatha

AU - Srilatha, P. S.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Granuloma multiforme (GM) is a chronic granulomatous skin condition which is clinically characterised by annular lesions mainly over sun-exposed areas and histologically by focal necrobiosis and histiocytic granulomas. Its significance lies in the fact that it can clinically resemble tuberculoid leprosy and hence it can be missed. Here, we report a case of GM from India in a 55-year-old female agriculturist, with multiple asymptomatic large annular rings of papules over the photo-distributed areas. Histopathology helps in confirming the diagnosis and in differentiating it from similar clinical and histologic mimics such as granuloma annulare, tuberculoid leprosy, interstitial granulomatous dermatitis or annular sarcoid. Though a high degree of suspicion is needed to diagnose GM, it should be considered as a differential for various annular conditions.

AB - Granuloma multiforme (GM) is a chronic granulomatous skin condition which is clinically characterised by annular lesions mainly over sun-exposed areas and histologically by focal necrobiosis and histiocytic granulomas. Its significance lies in the fact that it can clinically resemble tuberculoid leprosy and hence it can be missed. Here, we report a case of GM from India in a 55-year-old female agriculturist, with multiple asymptomatic large annular rings of papules over the photo-distributed areas. Histopathology helps in confirming the diagnosis and in differentiating it from similar clinical and histologic mimics such as granuloma annulare, tuberculoid leprosy, interstitial granulomatous dermatitis or annular sarcoid. Though a high degree of suspicion is needed to diagnose GM, it should be considered as a differential for various annular conditions.

UR - http://www.scopus.com/inward/record.url?scp=85059574806&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85059574806&partnerID=8YFLogxK

U2 - 10.1177/0049475518803191

DO - 10.1177/0049475518803191

M3 - Article

AN - SCOPUS:85059574806

SN - 0049-4755

VL - 49

SP - 55

EP - 58

JO - Tropical Doctor

JF - Tropical Doctor

IS - 1

ER -

Granuloma multiforme: an uncommon differential for leprosy

Abstract

All Science Journal Classification (ASJC) codes

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this