Granuloma Caused by Carbon Deposition in the Dermis

Pencil core granuloma is characterized by a delayed foreign-body reaction against retained fragments of pencil lead. Previous case reports presented pencil core granuloma resembling malignant melanoma, haemangioma, or soft tissue sarcoma. We present a case of pencil core gra...

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Main Authors: Rintaro Shibuya, Yuichiro Endo, Akihiro Fujisawa, Miki Tanioka, Yoshiki Miyachi
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Dermatological Medicine
Online Access:http://dx.doi.org/10.1155/2014/686489
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author Rintaro Shibuya
Yuichiro Endo
Akihiro Fujisawa
Miki Tanioka
Yoshiki Miyachi
author_facet Rintaro Shibuya
Yuichiro Endo
Akihiro Fujisawa
Miki Tanioka
Yoshiki Miyachi
author_sort Rintaro Shibuya
collection DOAJ
description Pencil core granuloma is characterized by a delayed foreign-body reaction against retained fragments of pencil lead. Previous case reports presented pencil core granuloma resembling malignant melanoma, haemangioma, or soft tissue sarcoma. We present a case of pencil core granuloma arising from the palm 25 years after the initial injury. The patient presented a bluish nodule that had been present over 25 years before. The nodule initially measured 5 mm in diameter. However, five years before presentation, it suddenly enlarged to the size of 30 mm during six months. Computed tomography (CT) of the lesion revealed a linear radiopaque structure of 8 mm long with a mass on its distal end. Surgical resection revealed a bluish muddy mass and pencil lead. Histological examination revealed degenerative tissue with calcification surrounded by massive amounts of black granular material in the middle and lower dermis.
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institution Kabale University
issn 2090-6463
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language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Case Reports in Dermatological Medicine
spelling doaj-art-55d4b96c3c5c46d483b73e1d2ea1d9552025-02-03T05:46:22ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712014-01-01201410.1155/2014/686489686489Granuloma Caused by Carbon Deposition in the DermisRintaro Shibuya0Yuichiro Endo1Akihiro Fujisawa2Miki Tanioka3Yoshiki Miyachi4Department of Dermatology, Graduate School of Medicine, Kyoto University, 54 Shogoin, Kawahara-cho, Sakyo-ku, Kyoto 606-8507, JapanDepartment of Dermatology, Graduate School of Medicine, Kyoto University, 54 Shogoin, Kawahara-cho, Sakyo-ku, Kyoto 606-8507, JapanDepartment of Dermatology, Graduate School of Medicine, Kyoto University, 54 Shogoin, Kawahara-cho, Sakyo-ku, Kyoto 606-8507, JapanDepartment of Dermatology, Graduate School of Medicine, Kyoto University, 54 Shogoin, Kawahara-cho, Sakyo-ku, Kyoto 606-8507, JapanDepartment of Dermatology, Graduate School of Medicine, Kyoto University, 54 Shogoin, Kawahara-cho, Sakyo-ku, Kyoto 606-8507, JapanPencil core granuloma is characterized by a delayed foreign-body reaction against retained fragments of pencil lead. Previous case reports presented pencil core granuloma resembling malignant melanoma, haemangioma, or soft tissue sarcoma. We present a case of pencil core granuloma arising from the palm 25 years after the initial injury. The patient presented a bluish nodule that had been present over 25 years before. The nodule initially measured 5 mm in diameter. However, five years before presentation, it suddenly enlarged to the size of 30 mm during six months. Computed tomography (CT) of the lesion revealed a linear radiopaque structure of 8 mm long with a mass on its distal end. Surgical resection revealed a bluish muddy mass and pencil lead. Histological examination revealed degenerative tissue with calcification surrounded by massive amounts of black granular material in the middle and lower dermis.http://dx.doi.org/10.1155/2014/686489
spellingShingle Rintaro Shibuya
Yuichiro Endo
Akihiro Fujisawa
Miki Tanioka
Yoshiki Miyachi
Granuloma Caused by Carbon Deposition in the Dermis
Case Reports in Dermatological Medicine
title Granuloma Caused by Carbon Deposition in the Dermis
title_full Granuloma Caused by Carbon Deposition in the Dermis
title_fullStr Granuloma Caused by Carbon Deposition in the Dermis
title_full_unstemmed Granuloma Caused by Carbon Deposition in the Dermis
title_short Granuloma Caused by Carbon Deposition in the Dermis
title_sort granuloma caused by carbon deposition in the dermis
url http://dx.doi.org/10.1155/2014/686489
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AT akihirofujisawa granulomacausedbycarbondepositioninthedermis
AT mikitanioka granulomacausedbycarbondepositioninthedermis
AT yoshikimiyachi granulomacausedbycarbondepositioninthedermis