Dermoscopic and Histopathological Association in Pyogenic Granuloma: A Case Series in Skin of Color
Introduction: Pyogenic granuloma (PG) is a common benign vascular lesion, presenting as a rapidly growing papule or polyp that bleeds easily. Diagnosing PG can be challenging due to its clinical similarity to other tumors. Dermoscopy offers improved accuracy in identifying such vascular by demonstra...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Clinical Dermatology Review |
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| Online Access: | https://journals.lww.com/10.4103/cdr.cdr_77_24 |
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| author | Balachandra Suryakant Ankad Anirudh A Mallapur Sahana S Hurakadli |
| author_facet | Balachandra Suryakant Ankad Anirudh A Mallapur Sahana S Hurakadli |
| author_sort | Balachandra Suryakant Ankad |
| collection | DOAJ |
| description | Introduction:
Pyogenic granuloma (PG) is a common benign vascular lesion, presenting as a rapidly growing papule or polyp that bleeds easily. Diagnosing PG can be challenging due to its clinical similarity to other tumors. Dermoscopy offers improved accuracy in identifying such vascular by demonstrating features. This study aims to explore dermoscopic features with their association to histopathological changes in PG in skin of color.
Materials and Methods:
A prospective observational case series study was conducted at S. Nijalingappa Medical College from January 2022 to November 2022. Patients with clinical signs of PG were included, while those with infected and oozing lesions were excluded. Demographic data, clinical evaluation, photographic documentation, dermoscopic examination, and histopathological analysis were performed. Statistical analysis was carried out using SPSS Statistics v20.0.
Results:
A total of 30 patients (13 males, 17 females) were included. Solitary red papule on face and scalp was common presentation. Dermoscopic features included reddish homogeneous areas (96.7%), white collarette (80%), white linear rail-lines (60%), hemorrhagic crust (30%), and rainbow phenomenon (30%). Dotted, linear irregular, and hairpin vessels were vascular patterns. Histopathology showed dilated blood vessels in a lobular arrangement (96.7%), hyperplastic epithelium forming a collarette (73.3%), and collagen bundles (56.7%). Statistically significant correlation was found in reddish homogeneous areas (P=0.001) white collarette (P=0.005) and white rail lines(P=0.001) with corresponding histopathological changes.
Conclusion:
Dermoscopy identifies characteristic features in PG effectively, aiding differentiation from similar lesions. The association with histopathological changes validates its diagnostic and monitoring relevance. Further studies with larger sample sizes are recommended. |
| format | Article |
| id | doaj-art-957fec2685994bfcaccdb5cf3fc24c4e |
| institution | Kabale University |
| issn | 2542-551X 2542-5528 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Clinical Dermatology Review |
| spelling | doaj-art-957fec2685994bfcaccdb5cf3fc24c4e2025-02-06T05:07:41ZengWolters Kluwer Medknow PublicationsClinical Dermatology Review2542-551X2542-55282025-01-0191353910.4103/cdr.cdr_77_24Dermoscopic and Histopathological Association in Pyogenic Granuloma: A Case Series in Skin of ColorBalachandra Suryakant AnkadAnirudh A MallapurSahana S HurakadliIntroduction: Pyogenic granuloma (PG) is a common benign vascular lesion, presenting as a rapidly growing papule or polyp that bleeds easily. Diagnosing PG can be challenging due to its clinical similarity to other tumors. Dermoscopy offers improved accuracy in identifying such vascular by demonstrating features. This study aims to explore dermoscopic features with their association to histopathological changes in PG in skin of color. Materials and Methods: A prospective observational case series study was conducted at S. Nijalingappa Medical College from January 2022 to November 2022. Patients with clinical signs of PG were included, while those with infected and oozing lesions were excluded. Demographic data, clinical evaluation, photographic documentation, dermoscopic examination, and histopathological analysis were performed. Statistical analysis was carried out using SPSS Statistics v20.0. Results: A total of 30 patients (13 males, 17 females) were included. Solitary red papule on face and scalp was common presentation. Dermoscopic features included reddish homogeneous areas (96.7%), white collarette (80%), white linear rail-lines (60%), hemorrhagic crust (30%), and rainbow phenomenon (30%). Dotted, linear irregular, and hairpin vessels were vascular patterns. Histopathology showed dilated blood vessels in a lobular arrangement (96.7%), hyperplastic epithelium forming a collarette (73.3%), and collagen bundles (56.7%). Statistically significant correlation was found in reddish homogeneous areas (P=0.001) white collarette (P=0.005) and white rail lines(P=0.001) with corresponding histopathological changes. Conclusion: Dermoscopy identifies characteristic features in PG effectively, aiding differentiation from similar lesions. The association with histopathological changes validates its diagnostic and monitoring relevance. Further studies with larger sample sizes are recommended.https://journals.lww.com/10.4103/cdr.cdr_77_24dermoscopyhistopathologypyogenic granulomarainbow phenomenonvascular growth |
| spellingShingle | Balachandra Suryakant Ankad Anirudh A Mallapur Sahana S Hurakadli Dermoscopic and Histopathological Association in Pyogenic Granuloma: A Case Series in Skin of Color Clinical Dermatology Review dermoscopy histopathology pyogenic granuloma rainbow phenomenon vascular growth |
| title | Dermoscopic and Histopathological Association in Pyogenic Granuloma: A Case Series in Skin of Color |
| title_full | Dermoscopic and Histopathological Association in Pyogenic Granuloma: A Case Series in Skin of Color |
| title_fullStr | Dermoscopic and Histopathological Association in Pyogenic Granuloma: A Case Series in Skin of Color |
| title_full_unstemmed | Dermoscopic and Histopathological Association in Pyogenic Granuloma: A Case Series in Skin of Color |
| title_short | Dermoscopic and Histopathological Association in Pyogenic Granuloma: A Case Series in Skin of Color |
| title_sort | dermoscopic and histopathological association in pyogenic granuloma a case series in skin of color |
| topic | dermoscopy histopathology pyogenic granuloma rainbow phenomenon vascular growth |
| url | https://journals.lww.com/10.4103/cdr.cdr_77_24 |
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