Verruciform xanthoma in groin – A case report

Verruciform xanthoma is a rare benign mucocutaneous lesion. Extra oral sites are also reported mainly on vulva, groin, penis and scrotum. Histopathologic diagnosis is diagnostic and confirmative. Histopathology shows subepithelial lipid laden foamy histiocytes associated with hyperkeratosis, parakeratosis, papillomatosis and elongation of rete ridges. Here we report a case of Verruciform xanthoma in groin.

Secondary syphilis: The great imitator can't be forgotten

Summary Syphilis is an infection caused by Treponema pallidum, mainly transmitted by sexual contact. Since 2001, primary and secondary syphilis rates started to rise, with an epidemic resurgence. The authors describe an exuberant case of secondary syphilis, presenting with annular and lichen planus-like lesions, as well as one mucocutaneous lesion. Physicians must be aware of syphilis in daily practice, since the vast spectrum of its cutaneous manifestations is rising worldwide.

Pyogenic Granuloma - A Case Report

Pyogenic Granuloma is a relatively common mucocutaneous lesion seen in the oral cavity, as a response to some underlying local irritant. This condition is frequently associated with periodontal pain and discomfort, and in some cases interferes with mastication and aesthetic problems. This paper presents a case of pyogenic granuloma managed by surgical intervention.

Verruciform Xanthoma-Histopathologically: A Distinct Entity

ABSTRACT Verruciform xanthoma (VX) is an uncommon benign mucocutaneous lesion of unknown etiology. It is essential to diagnose this lesion as a varied entity of utmost importance as clinically their appearance could range from a simple leukoplakia or papilloma to as grave as squamous cell carcinoma SCC. Although this lesion is of multifactorial pathogenesis, a viral etiology like human papilloma virus (HPV) has been suggested in some cases. This rare, harmless lesion usually presents as a sessile or pedunculated, pale yellowish-to-red, papillary, granular or verrucous mucosal growth. Histopathologically, VX is characterized by the presence of parakeratinzed epithelium showing papillary or verrucous growth with thin rete ridges and connective tissue papillae extending up to the surface. The papillae characteristically consist of foam cells, also called xanthoma cells. We report two cases of VX of varied clinical appearance but very similar and characteristic histopathological presentation to be diagnosed as VX. The clinical diagnosis, though may be challenging; the histopathological features are diagnostic and well-defined. It is also noteworthy that in an improper biopsy, xanthoma cells may be scanty and their presence can be missed, especially if one is unfamiliar with the existence of this lesion. How to cite this article Pawar VM, Patel S, Pathak J, Swain N. Verruciform Xanthoma-Histopathologically: A Distinct Entity. J Contemp Dent 2014;4(3):181-184.

Herpetic Pneumonitis Following Posterior Fossa Surgery

Reactivation of Herpes simplex virus (HSV) following manipulation of the trigeminal nerve root. has been reported in a substantial number of immunocompetent patients. Usually it was manifest as an oral mucocutaneous lesion and considered a benign postoperative complication. In the case described here, however, severe respiratory distress due to herpetic pneumonia developed following a pontocerebellar angle surgery complicated by an orolabial herpetic lesion. The delays necessary to confirm HSV diagnosis prior to initiating treatment are discussed, considering the rarity of this complication following neurosurgery.