Acanthoma fissuratum

What is it acanthoma fissuratum?

Acanthoma fissuratum is a rare condition that occurs in people who wear glasses; is presented as a papule, nodule or license plate with raised edges where the frame of the show presses on the skin.

Acanthoma means thickened skin, and fissure refers to fissure, erosion or ulceration, Which often occurs in the center of the injury. Acanthoma fissuratum has also been called granuloma fissure and spectacle frame granuloma, although not real granulomas They're in histology.

Who gets acanthoma fissuratum?

Factors believed to contribute to the development of acanthoma fissuratum include:

• Poorly adjusted spectacle frames or heavy frames
• Pre-existing skin disease at the injury site.
• Local anatomical abnormalities.

Similar reactions have been reported to be caused by the use of hearing aids.

What causes acanthoma fissuratum?

The most widely accepted theory is that acanthoma fissuratum develops as a result of chronic irritation due to friction and pressure at the site of contact with the frame of the glasses.

What are the clinical characteristics of acanthoma fissuratum?

Acanthoma fissuratum presents as a firm, flesh-colored papule, nodule, or plaque that has a central groove that splits the lesion in half (a “coffee bean” appearance). It is often painful, particularly if it is ulcerated.

The lesions are located where the glasses rest on the individual's skin, most commonly the side bridge of the nose or behind the ear or higher atrial groove (behind the ear).

How is acanthoma fissuratum diagnosed?

Acanthoma fissuratum can be recognized clinically if the possibility is considered.

If a biopsy the injury is taken or cut, histological The observed features include:

• Prominent acanthosisortho ortho slighthyperkeratosisand hypergranulosis of the epidermis
• Proliferation small vessels slightly dilated in the papilla dermis, with chronic irregular variable inflammation in a context of fibrotic stroma
• Wide, blunt and centrally dimmed challenge ridges
• Focal areas of spongiosis and parakeratosis.

Which is the differential diagnosis acanthoma fissuratum?

Acanthoma fissuratum may be similar in appearance to basal cell carcinoma. A biopsy can be taken if there is any question.

What is the treatment for acanthoma fissuratum?

Acanthoma fissuratum is a benign An injury that resolves spontaneously if the source of skin irritation is removed and the skin is allowed to heal.

Ideally, the patient should stop wearing glasses for a period of time, although this is not always practical if there are no other options available for vision correction.

Intralesional injection of corticosteroids into the lesion can alleviate symptoms.

What is the result of acanthoma fissuratum?

When allowed to heal without irritating the glasses, the acanthoma fissuratum will resolve without long-term scarring.

If the individual chooses to continue wearing tight lenses, it may reappear.