Granuloma multiforme: a report from India.
Granuloma multiforme (GM) is a reactive skin disorder of unknown etiology, characterized clinically by confluent annular lesions and histologically by focal necrobiosis and histiocytic granulomas. GM is significant because of its clinical resemblance to tuberculoid leprosy, with which it can be confused. Here, we report a case of granuloma multiforme from India in a 70-year-old male farmer, with multiple asymptomatic large annular rings of papules over the back and thighs on photodistributed sites. Histopathology helps to clinch the diagnosis and differentiate from similar clinical and histologic mimics such as granuloma annulare, tuberculoid leprosy, actinic granuloma and annular sarcoid. Nevertheless, a very high degree of suspicion is required to diagnose GM.
Department of Dermatology and STD, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry-605 006, India.
Rashmi
R
Kumari
Devinder Mohan
DM
Thappa
Abhijit
A
Chougule
Balaji
B
Adityan
D000287:Administration, Topical; D000368:Aged; D016460:Granuloma Annulare / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D007194:India; D008297:Male; D013256:Steroids / Q000008:administration & dosage
D013256:Steroids