Granuloma fissuratum D23.L6

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

acanthoma fissuratum; Sidebar Akanthom; Spectacle frame acanthoma

History
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Epstein 1965

Definition
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Painful granulation tissue at the pressure points of the temples.

Etiopathogenesis
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Constant pressure of the glasses, especially with heavy or poorly fitted, sharp-edged frames.

Localization
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Mostly unilateral, especially on the back of the auricle, lateral bridge of the nose.

Clinical features
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Skin-coloured to slightly reddened, pressure-sensitive, exophytic-growing nodule with a central, usually elongated indentation or ulceration (in typical cases the image resembles a coffee bean).

Histology
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Chronic granulomatous inflammation, pseudoepitheliomatous epidermal hyperplasia;

Differential diagnosis
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Therapy
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If necessary, immediate correction of the spectacle frame, in case of superinfection antimicrobial external agents such as Polyvidon-Iodine Ointment R204, Betaisodona) or Clioquinol Ointment(Linola-Sept). In the absence of regression, glucocorticoid-containing external agents such as 0.5% Hydrocortisone Lotio R121, Hydro-Wolff Lotio, 0.05% Betamethasone Lotio R030 or Betagelen Lotio. If necessary, intralesional glucocorticoids such as triamcinolone acetonide crystal suspension(e.g. Volon A 10 mg, 1:3-1:5 diluted with local anaesthetic, e.g. scandicain).

Literature
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  1. Dorn M et al (1981) Acanthoma fissuratum cutis. dermatologist 32: 145-148
  2. Zelger B (2002) Connective tissue tumors. Recent Results Cancer Res 160: 343-350

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020