Clinicopathological correlation in the diagnosis of granulomatous cutaneous disorders: a retrospective study

<p class="abstract"><strong>Background:</strong> To ascertain the various cutaneous granulomatous disorders and clinicopathological concordance in skin biopsies.</p><p class="abstract"><strong>Methods: </strong>The study included the patients with skin biopsy showing granulomatous infiltrate in a tertiary care center. The cases were categorized according to level of concordance into consistent, corroborative and inconsistent based on the concurrence between clinical and histological diagnosis.</p><p class="abstract"><strong>Results: </strong>Of the total 155 granulomatous disorder, 75.48% showed clinicopathological concordance, 19.35% showed corroborative diagnosis while 5.16% were inconsistent. The maximum number of biopsies performed were in the group of young adult (19-49 years, 57.41%). The most common type of granuloma found was of tuberculoid type and disorders were Hansen’s disease, fungal infection and cutaneous tuberculosis.</p><p class="abstract"><strong>Conclusions:</strong> Our study showed that the coordination of dermatologist and pathologist plays a pivotal role in making accurate diagnosis of granulomatous cutaneous dermatoses.</p>