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Pierre-Dominique Ghislain, MD; Johannes D. van Der Endt, MD; Jacques Delescluse, MD
Brussels Dermatology Clinic, Brussels, Belgium

Arch Dermatol. 2002;138:259-264.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 50-year-old woman presented with a several-year history of pruritus in the axillae. Dermatologic examination revealed numerous skin-colored, firm papules arranged in parallel lines (Figure 1 and Figure 2) and surrounded by normal skin. Some of them had a central umbilication, with an atrophic hair. There were no similar lesions on the rest of the body. The patient was in good general health; she did not take any medication. To her knowledge, nobody in her family had a similar dermatologic condition. A biopsy specimen was obtained to confirm the clinical diagnosis (Figure 3).

Figure 1.

Figure 2.

Figure 3.

What is your diagnosis?

Diagnosis: Fox-Fordyce disease.

The biopsy specimen showed acanthosis of the epidermis, with perifollicular hyperkeratosis. The follicular infundibulum near the point of entry of the apocrine gland was obstructed by a keratin plug. A moderate . . . [Full Text of this Article]

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