
Multiple Translucent Facial Papules
Stephen M. Schleicher, MD
Roxborough Memorial Hospital, Philadelphia, Pa
Arch Dermatol. 1998;134:1627-1632.
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REPORT OF A CASE
A 45-year-old white woman requested treatment of numerous asymptomatic facial lesions located about her eyes (Figure 1). The cosmetically bothersome growths, which the patient had first noticed approximately 3 years earlier, were slowly increasing in number. The patient denied having a family history of similar lesions.
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Figure 1.
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Examination revealed the periorbital distribution of multiple 1- to 3-mm nontender cystic papules, the majority of which were translucent, with a bluish hue. A scissors biopsy specimen was obtained from a characteristic lesion (Figure 2 and Figure 3).
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Figure 2.
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Figure 3.
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What is your diagnosis?
Diagnosis: Apocrine hidrocystoma.
The biopsy specimen revealed the presence of dilated cystic structures within the dermis, some of which were lined by 2 layers of epithelial cells. The inner row of cells, which contained prominent cytoplasm, demonstrated "decapitation secretion" indicative of apocrine differentiation.1
All lesions were removed either by scissors excision . . . [Full Text of this Article]
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Multiple Apocrine Hidrocystoma of the Face Treated With a 1450-nm Diode Laser
Echague et al.
Arch Dermatol 2005;141:1365-1367.
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