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BRIEF COMMUNICATION
Year : 2014  |  Volume : 62  |  Issue : 3  |  Page : 361-363

Annular elastolytic giant cell granuloma of conjunctiva: A case report


1 Department of Pathology, Burdwan Medical College, Burdwan, West Bengal, India
2 Department of Ophthalmology, Consultant, Disha Eye Hospital, Hooghly, West Bengal, India

Correspondence Address:
Karabi Konar
53/30, J. N. Lahiri Road, Lahiri Park, Serampore, Hooghly - 712 201, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.121142

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Annular elastolytic giant cell granuloma is a condition characterized histologically by damaged elastic fibers associated with preponderance of giant cells along with absence of necrobiosis, lipid, mucin, and pallisading granuloma. It usually occurs on sun-damaged skin and hence the previous name actinic granuloma. A similar process occurs on the conjunctiva. Over the past three decades only four cases of conjunctival actinic granuloma have been documented. All the previous patients were females with lesions in nasal or temporal bulbar conjunctiva varying 2-3 mm in size. We report a male patient aged 70 years presenting with a 14 mm × 7 mm fleshy mass on right lower bulbar conjunctiva. Clinical differential diagnoses were lymphoma, squamous cell carcinoma in situ and amyloidosis. Surgical excision followed by histopathology confirmed it to be a case of actinic granuloma. This is the first case of isolated conjunctival actinic granuloma of such a large size reported from India.


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