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Volume 7 Issue 2 (February, 2019)

Original Articles

Clinicopathological Correlation of Non Infectious Erythematous Papulosquamous Lesions of Skin
Gurpal Kaur, K.S.Chahal, S.K. Malhotra

Introduction: Papulosquamous diseases are a heterogeneous group of disorders which assume considerable importance because of their frequency of occurrence. The nosology of these disorders is based on a descriptive morphology of clinical lesions which are characterised by scaling papules or plaques as seen by dermatologist. Separation of each of these diseases becomes important because the treatment and prognosis for each tends to be disease specific. Aim: To analyse various clinical and histopathological patterns of non- infectious erythaematous, papulosquamous lesions of the skin and to assess the correlation of provisional clinical diagnosis and histopathological diagnosis. Material and methods: This present study included 100 cases presenting with clinical features of non infectious, erythematous papulosquamous skin disorders were included in the study, irrespective of age and sex reporting in the Pathology Department , Govt. Medical College, Amritsar, after approval from Institutional Ethical Committee and after taking informed consent of the patient. History and clinical examination of each patient was recorded on a self designed proforma. Final diagnosis was made on the basis of the histopathological findings. Results: A total of 100 biopsies were taken. Mean age of the study population in this study came out to be 39.44 ±16.35 years and male predominance. Majority of cases (53%)  were histopathologically diagnosed as Psoriasis. While 23% cases were of Lichen planus, 11% cases of lichen planus pigmentosum, 3% cases of lichen planushypertrophicus,1% cases of lichen nitidus, 4% cases of lichen chronicus, 1% of lichenoid drug reactions, 2% pityriasisrosea, 1% prurigonodularis, and 1% of  pityriasis rubra pilaris.Overall a positive Correlation with the histopathological diagnosis was positive in 74% cases and negative in 26% cases. Conclusion: Clincopathological correlation is mandatory as the pathologist’s ability to render an accurate diagnosis depends on the available clinical information.  Therefore, dermatopathology is important for more definite differentiation as Separation of each of these lesions becomes important because the treatment and prognosis for each tends to be disease specific.
Key words: Clinical features, Histopathological features, Papulosquamous lesions, Psoriasis,Lichen planus.

Received: 5 January  2019                                       Revised: 25 January 2019                              Accepted: 28 January 2019

Corresponding Author: Dr. K.S.Chahal,  Department of Pathology, GMC Amritsar, Punjab, India

This article may be cited as: Kaur G, Chahal KS, Malhotra SK. Clinicopathological Correlation of Non Infectious Erythematous Papulosquamous Lesions of Skin. J Adv Med Dent Scie Res 2019;7(2):131-135.

 
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