Title: Palisading Neutrophilic Granulomatous Dermatitis - A Rare Case Report
Authors: Dr Sourabh Sharma, Dr Prajul Mehta, Dr Sakshi Bhota
DOI: https://dx.doi.org/10.18535/jmscr/v9i10.14
Abstract
Palisaded neutrophilic and granulomatous dermatitis (PNGD) is a rare dermatological condition, which shows various clinical and histopathological features. A 67-year-old gentleman presented with non healing ulcer on right elbow joint for 6 months. He was on treatment from last 6 months. The physical examination was notable with multiple discrete well defined hyperpigmented lesions all over the body with few of them excoriated, forming ulcers with pus discharge. He also had a non healing ulcer with pus discharge over right elbow joint.
Keywords: PNGD, ulcer, non healing.
References
- Misago N, Shinoda Y, Tago M, Narisawa Y. Palisaded neutrophilic granulomatous dermatitis with leukocytoclastic vasculitis in a patient without any underlying systemic disease detected to date. J Cutan Pathol. 2010 Oct;37(10):1092–7.
- Chu P, Connolly MK, LeBoit PE. The histopathologic spectrum of palisaded neutrophilic and granulomatous dermatitis in patients with collagen vascular disease. Arch Dermatol. 1994 Oct;130(10):1278–83.
- Sangueza OP, Caudell MD, Mengesha YM, Davis LS, Barnes CJ, Griffin JE, et al. Palisaded neutrophilic granulomatous dermatitis in rheumatoid arthritis. J Am Acad Dermatol. 2002 Aug;47(2):251–7.
- Maurelli M, Colato C, Girolomoni G. Palisaded neutrophilic granulomatous dermatitis and its associations with autoimmune diseases. Eur J Dermatol. 2019 Aug; 29(4):432–3.
- Piette WW. Rheumatoid arthritis, juvenile idiopathic arthritis, adultonset still disease, and rheumatic fever. In: Kang S, Amagai M, Bruckner AL, Enk AH, Margolis DJ, McMichael AJ, et al., Fitzpatrick's Dermatology. 9th ed. Vol. 1. New York: McGraw Hill; 2019. p. 1148-9
- Kalen JE, Shokeen D, Ramos-Caro F, Motaparthi K. Palisaded neutrophilic granulomatous dermatitis: Spectrum of histologic findings in a single patient. JAAD Case Rep 2017;3:425-8.
- Mahmoodi M, Ahmad A, Bansal C, Cusack CA. Palisaded neutrophilic and granulomatous dermatitis in association with sarcoidosis. J Cutan Pathol 2011;38:365-8.
- Finan MC, Winkelmann RK. The cutaneous extravascular necrotizing granuloma (Churg-Strauss granuloma) and systemic disease: a review of 27 cases. Medicine (Baltimore) 1983;62:142-58.