A histopathological study of vesiculobullous skin lesions in a tertiary care hospital in Chhattisgarh, India

Background: Vesiculobullous skin lesions (VBLs) encompass a heterogeneous group of dermatological disorders, each with distinct clinical and pathological characteristics. Skin punch biopsy remains a fundamental diagnostic tool in evaluating these lesions. Histopathological examination is vital in co...

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Main Authors: Rabia Parveen Siddiqui, Riti Sharma, Aishik Biswas, Mrityunjay Kumar Singh, Ruchi Varma, Vanita Bhaskar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:MGM Journal of Medical Sciences
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Online Access:https://doi.org/10.4103/mgmj.mgmj_106_25
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author Rabia Parveen Siddiqui
Riti Sharma
Aishik Biswas
Mrityunjay Kumar Singh
Ruchi Varma
Vanita Bhaskar
author_facet Rabia Parveen Siddiqui
Riti Sharma
Aishik Biswas
Mrityunjay Kumar Singh
Ruchi Varma
Vanita Bhaskar
author_sort Rabia Parveen Siddiqui
collection DOAJ
description Background: Vesiculobullous skin lesions (VBLs) encompass a heterogeneous group of dermatological disorders, each with distinct clinical and pathological characteristics. Skin punch biopsy remains a fundamental diagnostic tool in evaluating these lesions. Histopathological examination is vital in confirming the diagnosis, guiding targeted therapy, and improving clinical outcomes. Aims and Objectives: To analyze the histopathological features, distribution patterns, and clinicopathological correlations of VBLs over 2 years. Materials and Methods: This study was conducted in the Department of Pathology between June 2022 and May 2024. It included all skin punch biopsies received from patients of all age groups presenting with vesiculobullous lesions during the study period. Results: A total of 84 cases were examined, comprising 32 males and 52 females, with a male-to-female ratio of 1:1.6. Patients were aged 22 to 73 years, with the highest incidence observed in the 31–40-year age group (42 cases). The mean patient age was 38 years. Pemphigus vulgaris (PV) was the most frequently diagnosed condition, accounting for 42 cases, followed by pemphigus foliaceus accounting for 24 cases. Bullous pemphigoid was seen in seven cases, while erythema multiforme accounted for three cases. Rare conditions such as epidermolysis bullosa acquisita, subepidermal bullous lesions, lichen planus pemphigoid, and Darier disease were identified in two cases. Conclusion: The study highlighted a slight female predominance among patients with VBLs, with the 31–40-year age group most commonly affected. The extremities were the most frequent site of involvement. PV emerged as the predominant vesiculobullous disorder in this cohort. The limitation of our study includes the lack of immunofluorescence in our center and single-institute data.
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spelling doaj-art-e1fc51bf2b4b49ad9eee403370b4ca392025-08-20T02:36:46ZengWolters Kluwer Medknow PublicationsMGM Journal of Medical Sciences2347-79462347-79622025-04-0112233133910.4103/mgmj.mgmj_106_25A histopathological study of vesiculobullous skin lesions in a tertiary care hospital in Chhattisgarh, IndiaRabia Parveen SiddiquiRiti SharmaAishik BiswasMrityunjay Kumar SinghRuchi VarmaVanita BhaskarBackground: Vesiculobullous skin lesions (VBLs) encompass a heterogeneous group of dermatological disorders, each with distinct clinical and pathological characteristics. Skin punch biopsy remains a fundamental diagnostic tool in evaluating these lesions. Histopathological examination is vital in confirming the diagnosis, guiding targeted therapy, and improving clinical outcomes. Aims and Objectives: To analyze the histopathological features, distribution patterns, and clinicopathological correlations of VBLs over 2 years. Materials and Methods: This study was conducted in the Department of Pathology between June 2022 and May 2024. It included all skin punch biopsies received from patients of all age groups presenting with vesiculobullous lesions during the study period. Results: A total of 84 cases were examined, comprising 32 males and 52 females, with a male-to-female ratio of 1:1.6. Patients were aged 22 to 73 years, with the highest incidence observed in the 31–40-year age group (42 cases). The mean patient age was 38 years. Pemphigus vulgaris (PV) was the most frequently diagnosed condition, accounting for 42 cases, followed by pemphigus foliaceus accounting for 24 cases. Bullous pemphigoid was seen in seven cases, while erythema multiforme accounted for three cases. Rare conditions such as epidermolysis bullosa acquisita, subepidermal bullous lesions, lichen planus pemphigoid, and Darier disease were identified in two cases. Conclusion: The study highlighted a slight female predominance among patients with VBLs, with the 31–40-year age group most commonly affected. The extremities were the most frequent site of involvement. PV emerged as the predominant vesiculobullous disorder in this cohort. The limitation of our study includes the lack of immunofluorescence in our center and single-institute data.https://doi.org/10.4103/mgmj.mgmj_106_25erythema multiformepemphigus foliaceuspemphigus vulgarisvesiculobullous lesion
spellingShingle Rabia Parveen Siddiqui
Riti Sharma
Aishik Biswas
Mrityunjay Kumar Singh
Ruchi Varma
Vanita Bhaskar
A histopathological study of vesiculobullous skin lesions in a tertiary care hospital in Chhattisgarh, India
MGM Journal of Medical Sciences
erythema multiforme
pemphigus foliaceus
pemphigus vulgaris
vesiculobullous lesion
title A histopathological study of vesiculobullous skin lesions in a tertiary care hospital in Chhattisgarh, India
title_full A histopathological study of vesiculobullous skin lesions in a tertiary care hospital in Chhattisgarh, India
title_fullStr A histopathological study of vesiculobullous skin lesions in a tertiary care hospital in Chhattisgarh, India
title_full_unstemmed A histopathological study of vesiculobullous skin lesions in a tertiary care hospital in Chhattisgarh, India
title_short A histopathological study of vesiculobullous skin lesions in a tertiary care hospital in Chhattisgarh, India
title_sort histopathological study of vesiculobullous skin lesions in a tertiary care hospital in chhattisgarh india
topic erythema multiforme
pemphigus foliaceus
pemphigus vulgaris
vesiculobullous lesion
url https://doi.org/10.4103/mgmj.mgmj_106_25
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