The nature of the hyaline rings in chronic periostitis and other conditions: An ultrastructural study

El‐Labban, N.G.; Kramer, I.R.H.

doi:10.1016/0030-4220(81)90011-6

Cited by 28 publications

(30 citation statements)

References 7 publications

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“…C and D, Histologically, the indurated lesions demonstrated the classic histologic features of PG. This work is in keeping with prior ultrastructural studies showing that the hyaline material resembled the cellulose microfibrils of vegetables 10,26,27 and animal studies in which the identical morphology was recapitulated by food implantation studies. gallbladder, and skin.…”

Section: Discussionsupporting

confidence: 85%

Gastrointestinal Tract–derived Pulse Granulomata

Nowacki¹,

Arnold

Frankel³

et al. 2015

American Journal of Surgical Pathology

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Pulse granulomata (PG) in the lung and oral pathology literature are presumed due to food (pulse) introduced by mucosal injury. Herein, we report the largest series of PG in the gastrointestinal tract (GIT): 22 resections were prospectively collected from 17 patients (8 men, range=28 to 85 y). All patients had a history of intestinal injury/disease: diverticulitis, fistula, adenocarcinoma, perforation, ulcerative colitis, appendicitis, anastomotic site leak, and/or stent leak. Nine of 22 specimens were designated "masses"; most of these were clinically concerning for neoplasia. Sites of involvement included the small and large intestine, appendix, liver, gallbladder, mesentery, omentum, peritoneum, cervix, ovary, and skin. PG were typically nodular (21/22) and multifocal (15/22); most involved the external surface of the bowel (20/22), and they ranged in size from 1.5 to 100 mm. Histologically, they contained variable amounts of hyaline ribbons and rings, inflammation, foreign body giant cells, calcifications, and food; larger lesions displayed circumferential stellate fibrosis (12/22). We describe 3 morphologic variants: hyaline predominant (mimicking amyloid), cellular predominant (mimicking spindle cell neoplasms), and sclerosing mesenteritis-like. All patients are alive and well at the time of follow-up. Histologically processed legumes showed similar structures as those identified in PG, providing support for an entrapped food origin. In summary, we detail important clinicopathologic clues, describe the PG morphologic spectrum, and demonstrate how to distinguish PG from their mimics. Although PG can present as clinically concerning masses, we conclude that they are pseudotumors arising secondary to entrapped food introduced through mucosal trauma, similar to their lung and oral counterparts.

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Section: Discussionsupporting

confidence: 85%

Gastrointestinal Tract–derived Pulse Granulomata

Nowacki¹,

Arnold

Frankel³

et al. 2015

American Journal of Surgical Pathology

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“…According to other studies, oral HRGs may be formed by pooling and coagulation of extravasated serum proteins (Chen et al . ) or degenerated collagen (El‐Labban & Kramer ). In contrast, evidence from an experimental animal model (Talacko & Radden ) and the results of histopathologic (Marcussen et al .…”

Section: Discussionmentioning

confidence: 99%

Analysis of the frequency and nature of hyaline ring granulomas in inflammatory odontogenic cysts

et al. 2012

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“…chronic mandibular periostitis [1][2][3], giant-cell hyaline angiopathy [2,16,18], HB and giant cells associated with a radicular cyst [4], periostitis and osteitis associated with HB [5], granulomas in edentulous jaws [6], pulse granuloma [7,10,12,14,15,19,21,22,24,26,28,30], oral vegetable granuloma [17], HR granuloma [13,23,27,29,31], le granulome "alimentaire" des maxillares [25], food-induced granuloma [20]and granuloma tissue with giant cells and hyaline change [12]. The report by Hase et al [9] obviously represents a case of oral infection due to Torulopsis glabrata but superimposed on a case of OPHRG.…”

Section: Terminologymentioning

confidence: 99%

Pulse or hyaline ring granuloma. Review of the literature on etiopathogenesis of oral and extraoral lesions

Philipsen¹,

Reichart

2009

Clin Oral Invest

102

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Since the late 1950s, reports on an unusual giantcell granulomatous lesion affecting the jaws, lungs, stomach and intestines have been published . Histopathologically, the lesions showed the presence of structureless hyaline rings with multinucleated giant cells. The aim of this review was to summarize the literature on the etiopathogenesis of the socalled oral and extraoral pulse or hyaline ring granuloma. Literature was searched using PubMed and Medline. In addition, hand search was performed. Search words were oral and extraoral hyaline ring granuloma, giant-cell hyaline angiopathy, pulse granuloma and chronic periostitis. Numerous terms for hyaline ring granuloma have been introduced over time .

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The nature of the hyaline rings in chronic periostitis and other conditions: An ultrastructural study

Cited by 28 publications

References 7 publications

Gastrointestinal Tract–derived Pulse Granulomata

Gastrointestinal Tract–derived Pulse Granulomata

Analysis of the frequency and nature of hyaline ring granulomas in inflammatory odontogenic cysts

Pulse or hyaline ring granuloma. Review of the literature on etiopathogenesis of oral and extraoral lesions

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