DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20202890

Histopathological pattern of cutaneous disorders in tertiary care center in Shahjahanpur district of India

Amar Singh, Astha Pant

Abstract


Background: Histopathological examination is most commonly needed and used investigation in dermatology. The main objective of this study is to share our experience with skin lesions from a tertiary health Centre by describing the histopathological patterns of 675 consecutive cases.

Methods: The study was retrospective and was conducted in those patients who attended the OPD. A total of 675 cases were sent for histopathological examination. Further they were classified into various histological categories based on the site and pattern of involvement. Inclusion criteria involves all skin biopsies sent for histopathology examination, exclusion criteria was none.

Results: Most common histopathological entity was infectious disease with 22.52% cases leading in this study. Out of which Hansen disease is on top with 16.29% which was followed by cutaneous tuberculosis with 3.70% (25) cases. Second most common group was of psoriasiform reactions with 9.77% cases. In this group most common disorder was psoriasis vulgaris with 5.92% (40) cases. Third and fourth most common group were spongiotic dermatitis and lichenoid dermatitis which presented with 9.18% and 9.03% cases with a minimal difference of 1 case.

Conclusions: A huge diversity in skin lesions was noticed in our study ranging from nonspecific dermatitis to malignant melanoma conditions. There was a younger age predominance regarding the patient presentation. Hansen’s disease still remains a single entity in India for which skin biopsy are required.


Keywords


Cutaneous tuberculosis, Histopathological examination, Hansen’s disease

Full Text:

PDF

References


Korfitis C, Gregoriou S, Antoniou C, Katsambas AD, Rigopoulos D. Skin biopsy in the context of dermatological diagnosis: a retrospective cohort study. Dermatol Res Pract. 2014;2014:734906.

Adhikari RC, Shah M, Jha AK. Histopathological spectrum of skin diseases in a tertiary skin health and referral centre. J Pathol Nep. 2019;9:1434-40.

Bezbaruah R, Baruah M. Histopathological spectrum of skin lesions- A hospital based study. Indian J Appl Res. 2018;8:51-2.

Dayal S, Gupta G. A cross section of skin diseases in Bundelkhand region, UP. Indian J Dermatol Venereol Leprol. 1977;43:258-61.

Kumar V, Goswami HM. Spectrum of non-neoplastic skin lesions: A histopathological study based on punch biopsy. Int J Cur Res Rev. 2018;10:43-8.

Yalla ASD, Kambala GM, Natta BR. Histopathological Study of Skin Lesions by Punch Biopsy. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). 2019;18(6):25-30.

Praba V, Narmadha C. Evaluation of Leprosy Cases in Correlation of Histopathology and Demonstration of Lepra Bacilli: A Prospective Study. Int J Sci Stud. 2019;6(12):209-12.

Zhang J, Fan YK, Wang P, Chen QQ, Wang G, Xu AE, et al. Cutaneous tuberculosis in China–A multicentre retrospective study of cases diagnosed between 1957 and 2013. J Europ Acad Dermatol Venereol. 2018 Apr;32(4):632-8.

Kaur G, Chahal KS, Malhotra SK. Clinicopathological Correlation of Non Infectious Erythematous Papulosquamous Lesions of Skin. J Adv Med Dent Scie Res. 2019;7(2):131-5.

Kushtagi AV, Neeravari VS, Sidhalingreddy, Pratima S. Clinical and Histopathological Spectrum of Vesciculobullous Lesions of skin- A Study of 40 cases. Indian J Pathol Oncol. 2016;3(2):152-8.

Shirazi N, Jindal R, Tyagi N, Roy S, Harsh M, Ahmad ÇS. Clinico-histopathological Spectrum of Cutaneous Vasculitis: A Retrospective Study of 62 cases. Order. 2015;115(966):7955.