Indian Journal of Dermatology
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CASE REPORT
Year : 2015  |  Volume : 60  |  Issue : 4  |  Page : 391-393

O'Brien actinic granuloma: A case report and brief review of literature


Department of Dermatology, Coimbra University Hospital, Coimbra, Portugal

Correspondence Address:
Dr. Inęs D Coutinho
Department of Dermatology, Coimbra University Hospital, Avenida Bissaya Barreto e Praceta Prof. Mota Pinto, 3000-075 Coimbra
Portugal
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5154.160493

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O'Brien first described the actinic granuloma in 1975, as an infrequent granulomatous disorder occurring in sun-exposed skin, with a slow but often self-limited course. Ever since its initial description, the actinic physiopathogenic hypothesis has been debated by many authors. We report a 60-year-old female rural worker that presented with a 14 × 7 cm annular lesion with erythematous elevated borders and an atrophic center on the right calf. The lesion was evolving for 2 years, and histopathology confirmed actinic granuloma. She started acitretin with halting of disease progression after 6 months of therapy. Our case can also be associated to actinic damage, despite its unusual location, therefore highlighting the role of solar elastosis in the development of O'Brien actinic granuloma.


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