Granulom122.docx

Granuloma Case describe granuloma histopathology Grenz zone What is diagnosis? Granuloma fasciale Treatment? a. Steroid Dapsone colchicine Granuloma with grenz is granuloma faciale / lepromatous leprosy / lymphocytoma cutis Patient have papules in fingers itchy and histopathology showed d...

Granuloma Case describe granuloma histopathology Grenz zone What is diagnosis? Granuloma fasciale Treatment? a. Steroid Dapsone colchicine Granuloma with grenz is granuloma faciale / lepromatous leprosy / lymphocytoma cutis Patient have papules in fingers itchy and histopathology showed dermal collagen he has renal problems what the treatment (Karyl’s disease) a. Allopurinol Note: NBUVB then cortisone then isotretinoin then Allopurinol Histopathology and lab suggesting panniculitis of pancreatitis (ulcer in calf) what findings Monocytosis Leukocytosis Neutrophilia Eosinophilia pancreatic panniculitis schmidtriad pancreatitis arthritis eosinophilia Note: ghost cells Gene mutation in granulomatous polyangiitis a. HLA-DPB1 gene Cytoplasmic antibody (c-ANCA) directed against serine proteinase three antigen (PR3- ANCA) Picture of lesion on nose granuloma without organism contain pustule. a. Sarcoidosis Patient with tender erythematous edematous plaque in face and Hand Leukocytosis Neutrophils (if sweet syndrome) Picture with darkness around eye and papules what next( Brit Hug Dube syndrome): Patch test Bl sugar Renal investigations Clear cell syringoma is ass with diabetes Erythematous plaque on the nose histopathology granuloma without organism and normal X-ray treatment Rifampicin+ Isoniazid Isoniazid Minocycline sarcoidosis or rosacea Pentostam Patient with flesh colored papules histopathology showed granuloma surrounded by mild lymphocytes no mucin no collagen no organism, treatment Rituximab Infliximab Minocycline Cutaneous sarcoidosis is treated with Topical Cs, HCQ, minocycline , MTX, infliximab Picture of female black colored with papules below eye what is next a. Renal investigation Cardiology Ophthalmology Neurology If fibrofolliculoma birt huge dube / renal If sarcoidosis examines chest X-ray and eyes Case describing microscopic polyangiitis Autoantibodies to myeloperoxidase (anti-MPO or P-ANCA) Board vital Case describing popular sarcoidosis investigations? a. ACEI Ca Lupus pernio picture . What u expect in this patient after 10 years a. Shortness of breath Palpitation Liver problem Best treatment a. Infliximab Adalimumab MTX There is systemic involvement Erythema nodusum treated with unknown medication and has eczema ,what is the drug a. Potassium iodide Picture histopathology EN what type a. Granulomatous septal panniculitis b. Granulomatous lobular panniculitis Histopathology picture of panniculitis? Vasculitic septal Vasculitic lobular Granulomatous septal / if EN Granulomatous lobular Annular lesion on dorsum of the handجدا بعيده صوره Steroid if granuloma annulare Terbinafine Clotrimazole Picture of JXG next step : a. Ophthalmologist Photo of lupus pernio ask about diagnosis and association Young adult male with reddish brown papule in the face several months hp infiltration with eosinophils and neutrophils and lymphocytes with clear zone Granuloma faciale Angiolymphoid hyperplasia with eosinophils Histopathological description of granuloma with plasma cell and no cholesterol cleft (necrobiosis lipidoca) what is next? a. Blood sugar Young female child with small yellow nodule on the scalp. the other area affected by the same lesion Eye Liver Brain Lung