Bilateral inguinal hernia with dislocation of great saphenous vein as complication of long‐standing granulomatous slack skin: a case report

Granulomatous slack skin (GSS) represents a rare variant of mycosis fungoides, histologically characterized by a variably deep T helper lymphocytes infiltrate with alteration of the dermal elastic tissue and consequent elastolysis, elastophagocytosis and numerous giant cells. Clinically, a developme...

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Bibliographic Details
Published in:Journal of the European Academy of Dermatology and Venereology 2006-05, Vol.20 (5), p.595-598
Main Authors: Benedetti, M, Niebel, T, Tinozzi, FP, Vassallo, C, Brazzelli, V, Paulli, M, Borroni, RG, Borroni, G
Format: Article
Language:English
Subjects:
Dermatologic Surgical Procedures
elastolysis
Granuloma - complications
Granuloma - pathology
Granuloma - surgery
hernia
Hernia, Inguinal - etiology
Hernia, Inguinal - pathology
Hernia, Inguinal - surgery
Humans
interferon alpha2a
life style
Male
Middle Aged
mycosis fungoides
Mycosis Fungoides - complications
Mycosis Fungoides - pathology
Mycosis Fungoides - surgery
Recurrence
Saphenous Vein - pathology
Skin - pathology
Skin Neoplasms - complications
Skin Neoplasms - pathology
Skin Neoplasms - surgery
slack skin
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Summary:Granulomatous slack skin (GSS) represents a rare variant of mycosis fungoides, histologically characterized by a variably deep T helper lymphocytes infiltrate with alteration of the dermal elastic tissue and consequent elastolysis, elastophagocytosis and numerous giant cells. Clinically, a development of unelastic, slack skin, especially on flexural areas, is observed. Hereby, we describe a man with a 12‐year history of GSS. In 2002, for practical (limitation of movement, deambulation) and cosmetic reasons, he underwent the surgical excision of loose and sagging skinfold over inguinal area, and, afterwards, of the opposite affected inguinal skin. The surgical treatment of bilateral inguinal hernia with reposition of inguinal dislocated vasculature is also reported. In both cases the excised material confirmed the former diagnosis of GSS and revealed a very deep, muscular infiltrate of neoplastic lymphocytes. One year later, a new excision of GSS on the axillae was made. Now, after 2 years, deambulation keeps improving, although an initial relapse of the inguinal slack skin has been observed.
ISSN:0926-9959
1468-3083
DOI:10.1111/j.1468-3083.2006.01575.x