Retrospective Evaluation of Patients Diagnosed with Clinically and Histopathologically Non-Infectious Granulomatous Dermatitis: 17-Year Single Center Experience Klinik ve Histopatolojik Olarak Enfeksiyöz Olmayan Granülomatöz Dermatit Tanısı Almış Olguların Retrospektif Olarak Değerlendirilmesi: 17 Yıllık Tek Merkez Deneyimi


ÇETİNARSLAN T., Masat A. K., TEMİZ P., TÜREL ERMERTCAN A.

Turkiye Klinikleri Dermatoloji, cilt.34, sa.2, ss.75-81, 2024 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 34 Sayı: 2
  • Basım Tarihi: 2024
  • Doi Numarası: 10.5336/dermato.2024-101932
  • Dergi Adı: Turkiye Klinikleri Dermatoloji
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.75-81
  • Anahtar Kelimeler: Granuloma, granuloma annulare, granulomatous dermatitis, necrobiosis lipoidica, sarcoidosis
  • Manisa Celal Bayar Üniversitesi Adresli: Evet

Özet

Objective: Granulomatous dermatitis (GD) is a group of diseases grouped under two main headings: infectious and non-infectious, characterized histopathologically by granulomas and may also present with systemic findings. Granulomatous inflammation may be limited to the skin only or may occur as a symptom of a systemic disease. Material and Methods: 105 patients included who were clinically and histopathologically diagnosed with non-infectious GD in our clinic between 2006 and 2023. Results: Of the 105 patients included in our study, 79 were female and 26 were male. The mean age of the patients was 45.72 (age range 2-77). While 12 of the patients were under the age of 18, 12 patients were over the age of 65. The diagnosis of the patients were granuloma annulare (n=43), followed by sarcoidosis (n=24), necrobiosis lipoidica (n=12), interstitial GD (n=6), granulomatous rosacea (n=5), panniculitis (n=5), granuloma fasciale (n=2), Crohn’s disease (n=2), granulomatous vasculitis (n=2), piyoderma gangrenozum (n=1), post herpetic GD (n=1), lupus miliaris disseminatus faciei (n=1), granulomatous mycosis fungoides (n=1) and elastolytic giant cell granuloma (n=1). Conclusion: GDs are a heterogeneous group of diseases with varying clinical and histopathological findings. Histopathological morphology alone is rarely specific and is not sufficient to make a definitive diagnosis of the disease that plays a role in etiology. Conclusion: Differential diagnosis of GDs should be made in the light of histopathological findings, microbiological examination and clinical data.