Pathology
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Atlas of dermatopathology
Josef Feit, Hana Jedličková, Günter Burg, Luděk Matyska, Spasoje Radovanovic et al.
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+ Introduction
+ Literature
+ Support
+ Skin biopsy
+ Non-tumorous skin diseases
+ Skin tumors
+ Cysts of the skin and subcutis
+ Soft tissue lesions
+ Some lesions of the oral cavity
+ Dermatovenerology
+ Collection of histological slides by prof. Günter Burg
+ Collection of histological slides by prof. Werner Kempf
+ Collection of histological slides of dr. Ram Chandra Adhikari
Granuloma annulare
Etiology, pathogenesis
  • unknown
Clinical signs
  • location: dorsa of hands and feets, skin above the joints, trunk
  • red papules spread into roundish lesions with elevated borders
  • roundish lesions with central depression
  • asymptomatic
  • often involutes following minor trauma
  • chronic, usually self-limiting disease
  • often in children, adults also affected
Histology

Foci of necrobiosis within the dermis, surrounded by palisading histiocytes.

Deep forms are within the reticular dermis and can reach into the subcutaneous tissue.

Subcutaneous granuloma annulare is situated within the subcutaenous tissue.

Pictures

Granuloma annulare: Granuloma annulare, HE 10x (249) Granuloma annulare, HE 20x (250)

Granuloma annulare, developed: Granuloma annulare developed, HE 60x (13015) Granuloma annulare developed, alcian blue 60x (13014)

Another case: Granuloma annulare developed, HE 40x (2673) Granuloma annulare developed, Halle 40x (2674)

Granuloma annulare: Granuloma annulare developed, HE 40x (12060)

Granuloma annulare: Granuloma annulare, HE 60x (10989)

Granuloma annulare: Granuloma annulare, HE 60x (10990)

Granuloma annulare: Granuloma annulare developed, HE 40x (13016)

Granuloma annulare: Granuloma annulare developed, HE 40x (13017)

Granuloma annulare: Granuloma annulare developed, HE 40x (12815)

Granuloma annulare: Granuloma annulare developed, HE 40x (12816)

Granuloma annulare: Granuloma annulare developed, HE 40x (12817)

Granuloma annulare: Granuloma annulare, HE 60x (10778)

Granuloma annulare: Granuloma annulare developed, HE 60x (14370) Granuloma annulare developed, elastic fibres 20x (14369)

Granuloma annulare: Granuloma annulare developed, HE 60x (14190) Granuloma annulare developed, alcian blue 20x (14189)

Granuloma annulare, interstitial, no necrobiotic areas: Granuloma annulare, intersticial, HE 60x (13420)

Granuloma annulare with nuclear fragments (dust) within the necrobiotic area: Granuloma annulare developed, HE 40x (3489)

Granuloma annulare and purpura: Granuloma annulare, purpura, HE 40x (3637)

Granuloma annulare (patient with large cell B lymphoma): Granuloma annulare in a patient with large B cell lyphoma, HE 20x (4323)