XML Print


1- Department of Pathology, Government Medical College, Kadapa, Andhra Pradesh
2- Department of Pathology, Government Medical College, Eluru-534001, Andhra Pradesh
3- Department of Pathology, Government Medical College, Kadapa, Andhra Pradesh , drsobharanipath@gmail.com
Abstract:   (152 Views)
Background: The prevalence of skin diseases varies geographically due to factors, such as etiology, environment, genetics, and lifestyle. The current study aimed to determine the incidence and distribution of skin disorders and to provide a description of the histomorphological spectrum.
Methods: This retrospective study was conducted over a period of two years, from June 2021 to May 2023. A total of 202 skin biopsy samples were evaluated. The histopathological examination of the lesions categorized them into eight groups based on the site, pattern of involvement, and cytological features, according to the Lever’s Histopathology of the Skin. Group 1 consisted of diseases limited to the epidermis and stratum corneum; group 2 consisted of diseases with localized superficial epidermal or melanocytic proliferation; group 3 consisted of diseases of the superficial cutaneous reactive unit; group 4 included diseases with acantholytic, vesicular, and pustular morphology; group 5 included diseases with perivascular, diffuse, and granulomatous infiltrate of the reticular dermis; group 6 included tumors and cysts of the dermis and subcutis; group 7 consisted of inflammatory disorders of skin appendages; and group 8 consisted of disorders of the subcutis.
Results: A total of 202 skin biopsies were collected from individuals aged 8-87 years. The majority of the cases belonged to the age group of 31-40 years. The male-to-female ratio was 1.2:1. The trunk was the most common site of biopsy, accounting for 40% of the cases, followed by the upper limb in 25% of the cases. Histopathological lesions were categorized into eight groups based on the site, pattern, and cytological features. Neoplastic lesions, both benign and malignant, accounted for 10.9% of the cases. The majority of the lesions were related to group 6, accounting for 38.1% of the cases, with the epidermal cyst being the most common lesion (7.92%). Basal cell carcinoma, observed in 2.97% of the cases, was the most common lesion among the neoplastic lesions. Group 5 lesions were the third most common (19.8%), with leprosy accounting for 9.4% of these cases.
Conclusion: Histopathological examination of skin biopsies is considered the gold standard for diagnosis, and it is often supported by ancillary techniques. Leprosy was the most common disease identified in this study, which underscores the importance of effective preventive measures for control.

 
     
Article Type: Research | Subject: Basic medical sciences

References
1. Nagayach P, Kumar L, Rawal D, Singh P, Kumar H, Chahar Y, et al. Evaluation of Histomorphological Spectrum of Skin Lesions at a Teaching Institute in Agra: A Cross-sectional Study. J Clin Diagn Res. 2022;16(9):10. [View at Publisher] [DOI] [Google Scholar]
2. Venugopal R, Shankar P, Pathania V. Clinicopathological correlation in the diagnosis of skin diseases: A retrospective study. Medical Journal of Dr. DY Patil University. 2020;13(6):648-52. [View at Publisher] [DOI] [Google Scholar]
3. Gaikwad SL, Kumawat UD, Sakhare NA, D'costa GF. Histopathological Spectrum of Skin Lesions- Experience at Rural Based Hospital. Int J cur Res. 2016;8(8):36223-7. [View at Publisher] [Google Scholar]
4. Mamatha K, Susmitha S, Vijayalaxmi SP, Sathyashree KV, Disha BS. Histopathological spectrum of dermatological lesions -An experience at tertiary care centre. IP Archives of Cytology and Histopathology Research. 2018;3(2):83-8. [View at Publisher] [DOI] [Google Scholar]
5. Ricci V, Ricci C, Cocco G, Donati D, Farì G, Mezian K, et al. From histology to sonography in skin and superficial tissue disorders: EURO-MUSCULUS/USPRM* approach. Pathology-Research and Practice. 2022;237:154003.. [View at Publisher] [DOI] [PMID] [Google Scholar]
6. Bharadwaj V, Sudhakar R, Srikanth Reddy K, Sree Ramulu NR. Histopathological spectrum of dermatological lesions- a retrospective study. J Evid Based Med Health. 2020;7(25):1198-202. [View at Publisher] [DOI] [Google Scholar]
7. Gupta P, Karuna V, Grover K, Rathi M, Verma N. The histopathological spectrum of skin diseases with emphasis on clinicopathological correlation: A prospective study. IP Journal of Diagnosc Pathology and Oncology. 2018;3(2):91-5. [View at Publisher] [DOI] [Google Scholar]
8. Chandrakanta, Nagayach P, Kumar L, Rawal D, Singh P, Kumar H, et al. Evaluation of Histomorphological Spectrum of Skin Lesions at a Teaching Institute in Agra: A Cross-sectional StudyEC10-EC. J Clin Diagn Res. 2022;16(9):EC10-5. [View at Publisher] [DOI]
9. Yalla ASD, Kambala GM, Natta BR. Histopathological study of skin lesions by punch biopsy. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). 2019;18(6):25-30. [View at Publisher] [DOI] [Google Scholar]
10. Singh S, Debnath A, Datta D, Chakravarty S, Chaubey RN. Histopathological evaluation of skin lesions with special reference to skin adnexal tumors in a tertiary centre of North-Eastern India- A three year study. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). 2016;15(2):34-9. [View at Publisher] [DOI] [Google Scholar]
11. Agarwal D, Singh K, Saluja SK, Kundu PR, Kamra H, Agarwal R. Histopathological review of dermatological disorders with a keynote to granulomatous l: A retrospective study. Int J Sci Stud. 2015;3(9):66-9. [View at Publisher] [Google Scholar]
12. Mehar R, Jain R, Kulkarni CV, Narang S, Mittal M, Patidar H. Histopathological study of dermatological lesions - A retrospective approach. Int J Med Sci Public Health. 2014;3(9):1082-5. [View at Publisher] [DOI] [Google Scholar]
13. Goswami P, Parekh M, Goswami A. Histopathology spectrum of skin lesions in teaching institution. J Family Med Prim Care. 2022;11(8):4610-3. [View at Publisher] [DOI] [PMID] [Google Scholar]
14. Gaikwad SL, Kumawat UD, Sakhare NA, D'costa GF. Histopathological spectrum of skin lesions experience at rural based hospital. Int J Curr Res. 2016;8(08):36223-27. [View at Publisher] [Google Scholar]
15. Yadav S, Sharma U, Raghava V, Bali IK. Histopathological spectrum of skin lesions among patients in a rural community, Chandu Bhudhera, FMHS, SGT Medical College, Hospital & Research Institute Gurgaon, Haryana. Int J Curr Adv Res. 2018;7(5):12427-30. [View at Publisher] [DOI] [Google Scholar]
16. Sushma C, Chandra Sekhar BHP, Faheem K, Sujatha C, Lavanya G, Sai Prasad BV, et al. Histomorphological motif of skin lesions - A model analysis in a tertiary care teaching hospital. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). 2018;17(5):70-76. [View at Publisher] [DOI] [Google Scholar]
17. Gorva A, Shoba KL, Chaitanya K, Dayanad K. Histopathological spectrum of skin lesions analysed in a tertiary care hospital: A record based study. J Cardiovasc Dis Res. 2022;13(4):267-80. [View at Publisher] [Google Scholar]
18. Adhikari RC, Shah M, Jha AK. Histopathological spectrum of skin diseases in a tertiary skin health and referral centre. J Pathol Nep. 2019;9(1):1434-40. [View at Publisher] [DOI] [Google Scholar]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Journal of Clinical and Basic Research

Designed & Developed by : Yektaweb

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0).