Images (3)
Granuloma fissuratumD23.L6
Synonym(s)
acanthoma fissuratum; Sidebar Akanthom; Spectacle frame acanthoma
HistoryThis section has been translated automatically.
Epstein 1965
DefinitionThis section has been translated automatically.
Painful granulation tissue at the pressure points of the temples.
EtiopathogenesisThis section has been translated automatically.
Constant pressure of the glasses, especially with heavy or poorly fitted, sharp-edged frames.
LocalizationThis section has been translated automatically.
Mostly unilateral, especially on the back of the auricle, lateral bridge of the nose.
Clinical featuresThis section has been translated automatically.
Skin-coloured to slightly reddened, pressure-sensitive, exophytic-growing nodule with a central, usually elongated indentation or ulceration (in typical cases the image resembles a coffee bean).
HistologyThis section has been translated automatically.
Chronic granulomatous inflammation, pseudoepitheliomatous epidermal hyperplasia;
Differential diagnosisThis section has been translated automatically.
TherapyThis section has been translated automatically.
If necessary, immediate correction of the spectacle frame, in case of superinfection antimicrobial external agents such as Polyvidon-Iodine Ointment R204, Betaisodona) or Clioquinol Ointment(Linola-Sept). In the absence of regression, glucocorticoid-containing external agents such as 0.5% Hydrocortisone Lotio R121, Hydro-Wolff Lotio, 0.05% Betamethasone Lotio R030 or Betagelen Lotio. If necessary, intralesional glucocorticoids such as triamcinolone acetonide crystal suspension(e.g. Volon A 10 mg, 1:3-1:5 diluted with local anaesthetic, e.g. scandicain).
LiteratureThis section has been translated automatically.
- Dorn M et al (1981) Acanthoma fissuratum cutis. dermatologist 32: 145-148
- Zelger B (2002) Connective tissue tumors. Recent Results Cancer Res 160: 343-350