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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Format: | Article |
Language: | English |
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Wiley
2014-01-01
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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. |
format | Article |
id | doaj-art-55d4b96c3c5c46d483b73e1d2ea1d955 |
institution | Kabale University |
issn | 2090-6463 2090-6471 |
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 |
work_keys_str_mv | AT rintaroshibuya granulomacausedbycarbondepositioninthedermis AT yuichiroendo granulomacausedbycarbondepositioninthedermis AT akihirofujisawa granulomacausedbycarbondepositioninthedermis AT mikitanioka granulomacausedbycarbondepositioninthedermis AT yoshikimiyachi granulomacausedbycarbondepositioninthedermis |