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.

journal_name

Trop Doct

journal_title

Tropical doctor

authors

Bhatia S,Shenoi SD,Pai K,Ps S

doi

10.1177/0049475518803191

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

55-58

issue

1

eissn

0049-4755

issn

1758-1133

journal_volume

49

pub_type

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