We report the occurrence of a case of a benign ovarian tumour-mucinous cystadenoma ovary with adnexal tuberculosis. Our case was a middle-aged Indian woman who presented with abdominal distension and discomfort at the gynaecology clinic of M.Y. hospital, Indore. The data were collected by history-taking, clinical examination, laboratory investigations, transabdominal ultrasonographic examination, and by histopathological study of the excised surgical specimen. It was reported as ovarian mucinous cystadenoma with adnexal TB. This case report emphasizes the significance of thorough evaluation of all women presenting with vague abdominal pains and thorough search of any other pathology in the specimen, like in our case it was tuberculosis. With the increasing awareness of such conditions, more and more cases could be detected and reported.
Background:
Vesiculobullous disorders (VBDs) are extant with diverse clinical manifestations. Vesicles and bullae are fluid-filled cavities present within or beneath the epidermis. They are autoimmune blistering disorders in which autoantibodies are directed against target antigens present in the epidermis and dermo-epidermal junction.
Objective:
Evaluation of the various clinicodemographic profile of patients with a pattern of distribution (subtypes) of VBDs of the skin and assess the association between clinical aspects and histological changes in vesiculobullous lesions of the skin.
Materials and Methods:
The study material constituted 93 cases of VBDs out of 936 skin biopsies reported over two and a half years (January 2016 to June 2018) from the tertiary care center. A detailed history of the patients was taken, and a complete physical and dermatological examination with findings including clinical diagnosis was recorded. Histopathological examination (incisional/excisional/punch biopsy) was done in each case. The clinico-demographic evaluation was done and the results were correlated with histopathological findings.
Results:
Vesiculobullous lesions constituted 10.06% of all skin biopsies. The majority of cases were of pemphigus vulgaris (PV) 30 (32.25%) followed by 16 (17.2%) of bullous pemphigoid. In 83 cases (89.24%) histopathology findings were consistent with clinical diagnosis. Out of 34 cases that were diagnosed clinically as PV, the histopathological study proved 30 cases (88.23%) as PV.
Conclusion:
Vesiculobullous lesions of the skin are a heterogeneous group of disorders. It is essential to differentiate each pattern of subtype based on clinical examination and histopathological findings. Histopathological diagnosis with clinical correlation plays a major role in arriving at the diagnosis.
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