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

M. Benedetti, T. Niebel, F. P. Tinozzi, C. Vassallo, V. Brazzelli, M. Paulli, R. G. Borroni, G. Borroni

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Abstract

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.

Original languageEnglish
Pages (from-to)595-598
Number of pages4
JournalJournal of the European Academy of Dermatology and Venereology
Volume20
Issue number5
DOIs
Publication statusPublished - May 2006

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Keywords

  • Elastolysis
  • Hernia
  • Interferon alpha2a
  • Life style
  • Mycosis fungoides
  • Slack skin

ASJC Scopus subject areas

  • Dermatology
  • Infectious Diseases

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