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ABSTRACT: Eight cases of a histological entity that we name ′acute eosinophilic appendicitis′ (AEA) are described and compared with classical acute appendicitis and appendices, which turned out to be normal after emergency appendicectomy. These 8 cases formed part of a dataset of 128 emergency appendicectomies, which also included 78 cases of classical acute appendicitis and 42 cases of normal appendix. The clinical and pathological variables were compared between these three. Acute eosinophilic appendicitis is characterized by acute presentation and a grossly inflamed appendix, but with absence of neutrophils in the muscle layer. The histological hallmark of the entity is eosinophil infiltration of the muscularis propria with accompanying edema separating muscle fibers (the Eosinophil - Edema lesion). The duration and prevalence of symptoms, the male female ratio and the gross maximum circumference of the appendix in these 8 cases resembled classical acute appendicitis rather than those cases in which the morphology of the appendix was normal. The Eosinophil-Edema lesion was also seen in many cases of classical appendicitis in non-suppurative areas where neutrophils were sparse or absent. We hypothesize that this lesion is an allergic response and is probably an early event in the evolution of acute phlegmonous appendicitis. Acute eosinophilic appendicitis may merely be those cases that do not proceed on to suppuration.
Indian Journal of Pathology and Microbiology. 01/2010;
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ABSTRACT: Finding of increased numbers of eosinophils in the muscle in cases of acute appendicitis has led to the hypothesis that it may have an allergic origin. This study aimed to measure the eosinophil degranulation resulting in a rise in the serum of eosinophil granule proteins that would be expected in such cases. The levels of serum eosinophil cationic protein (ECP) measured by chemiluminescence assay in acute appendicitis were compared, with those of appropriate controls. Mean (95% CI) serum ECP (µg/L) levels were: acute appendicitis 45.3 (27.7-63.0); normal appendix 22.7 (16.0-29.3); asthma 24.2 (4.6-43.8); and healthy volunteers 13.2 (8.3-18.1). In cases of acute appendicitis, there is an inverse relationship between duration of symptoms and serum ECP. However, this was not statistically significant. Significant local eosinophil activation and degranulation occurs in acute appendicitis, enough to cause a rise in serum levels of eosinophil chemotactic protein
Indian Journal of Pathology and Microbiology. 01/2008;
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ABSTRACT: We report a 28-year-old man who presented with hematemesis due to choricarcinoma of testis metastatic to the stomach. Gastroscopy showed a polypoidal lesion. Testicular wedge biopsy confirmed mixed germ cell tumor, the choriocarcinomatous portion alone getting metastasized to the stomach. He was initiated on chemotherapy with actinomycin-D, etoposide and methotrexate, but died due to multiple metastases to the lung and brain.
Indian Journal of Gastroenterology. 01/2004;
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ABSTRACT: Bowenoid papulosis is clinically a benign appearing genital lesion that shows histologic features of squamous cell carcinoma-in-situ. Bowenoid papulosis of the scrotum turning to invasive squamous cell carcinoma is reported in an elderly male.
Indian Journal of Dermatology, Venereology and Leprology. 01/1998;
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ABSTRACT: Spiradenoma is a solitary, deep seated nodule occurring on the ventral surface of the body, especially over the upper half. We are describing a case of spiradenoma with zosteriform arrangement.
Indian Journal of Dermatology, Venereology and Leprology. 01/1996;
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ABSTRACT: A 20 year old male from Nilambur of Malappuram district of Kerala developed an asymptomatic , single, well circumscribed erythomatous indurated plaque about 3x 2.5 cm in size with central crusting, on the left forearm just about the wrist on the lateral aspect, of six months duration. He had never gone out of his native place at any time in his life, Slit smear examination and staining with Giemsa stain showed plenty of extracelluar and intracellular Leishman, Donovan bodies, ,Histopathology of the lesion was consistent with diagnosis of cutaneous Leishmaniasis. He was treated with rifampicin′600 mg and the lesion showed signs of regression within one month.
Indian Journal of Dermatology, Venereology and Leprology. 01/1990;
