The differential for OSSN includes pterygium, pingueculum, papilloma, solar keratosis, lipoma, lymphoma, chronic blepharoconjunctivitis, inflammation, melanoma, ocular pannus, pyogenic granuloma, kaposi sarcoma, keratocanthoma, mucoepidermoid carcinoma, pseudoepitheliomatous hyperplasia, and adenocarcinoma.
32.
For example in the case of Recurrent pyogenic cholangitis complicated by calcium bilirubinate stone dislodging to the common bile duct causing a distended gallbladder by back pressure . ( Where formation of stones are not strictly in gallbladder, hence not fibrotic, but in the intrahepatic bile ducts ).
33.
There are two types, longitudinal and transverse melanonychia . although there are other diagnoses such as chronic paronychia, onychomycosis, subungual hematoma, pyogenic granuloma, glomus tumour, subungual verruca, mucous cyst, subungual fibroma, keratoacanthoma, carcinoma of the nail bed, and subungual exostosis.
34.
Examples of the inaccurate use of the term granuloma are the lesions known as vocal cord granuloma, pyogenic granuloma and intubation granuloma, all of which are examples of granulation tissue, not granulomas . " Pulmonary hyalinizing granuloma " is a lesion characterized by keloid-like fibrosis in the lung, and is not granulomatous.
35.
"' Neutrophil-specific granule deficiency "'( "'SGD "', previously known as "'lactoferrin deficiency "') is a rare congenital immunodeficiency characterized by an increased risk for pyogenic infections due to defective production of specific granules and gelatinase granules in patient neutrophils.
36.
According to one of his biographers, " his thorough knowledge of the natural history of pyogenic diseases of the temporal bone and nasal sinuses, in addition to his clear description of cranial anatomy, as illustrated in his " Atlas of Head Sections ", were especially important in developing his successful treatment of brain abscess.
37.
"' Pyogenic granuloma "'( also known as a " eruptive hemangioma ", " granulation tissue-type hemangioma ", " granuloma gravidarum ", " lobular capillary hemangioma ", " pregnancy tumor ", and " tumor of pregnancy " ) is a vascular lesion that occurs on both mucosa and skin, and appears as an hormonal factors.
38.
Besides, Dr . Philip Augustine is credited as the first to report on Crohn's disease in the country in 1995, which he submitted at the national conference of the " Indian Society of Gastroenterology " . he also led a team of doctors who first reported " Recurrent Pyogenic Cholangites " or " Oriental Cholangiopathy " in India.
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