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KMID : 0363220070450080814
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Korean Journal of Dermatology
2007 Volume.45 No. 8 p.814 ~ p.817
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Generalized Actinic Granuloma with Ocular Involvement,Subsequent Development of Temporal Arteritis
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Jang Hyo-Chan
Park Gun
Chung Hyun
Kim Hee-Jeung
Do Jin-Kuk
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Abstract
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A 63-year-old Korean man presented with generalized, asymptomatic, discrete papules and coalescent annular plaques for one year. Interestingly, the patient complained of conjunctival congestion, concurrently with aggravation of the skin lesion. Histopathologic findings of the skin lesion and conjunctiva revealed giant cells engulfing fragmented elastic fibers, and a diagnosis of actinic granuloma with ocular involvement was made. Ten months later, the patient revisited with a two-week history of bilateral temporal headache, neck pain, intermittent jaw claudication, and blurred vision. Biopsy of the temporal artery confirmed the clinical diagnosis of temporal arteritis. Both actinic granuloma and temporal arteritis show similar pathologic process, and this case supports the hypothesis that actinically degenerated elastic tissue is likely to be the antigenic basis of actinic granuloma of the skin and temporal arteritis.
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KEYWORD
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Actinic Granuloma, Temporal arteritis
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