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  Vol. 139 No. 6, June 2003 TABLE OF CONTENTS
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Multiple Papules and Nodules on the Forearm—Diagnosis

Arch Dermatol. 2003;139:803-808.

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

Diagnosis: Multiple folliculosebaceous cystic hamartomas.

MICROSCOPIC FINDINGS

Both biopsy specimens showed similar findings. Intradermal cystic structures were lined by squamous epithelium and were filled with laminated orthokeratotic keratin fragments. Numerous sebaceous lobules were observed radiating from the cystic structures. Surrounding stroma showed mesenchymal changes, including proliferation of fibrous, adipose, and vascular tissues. The follicular opening is evident in Figure 2.


 
Figure appears in full text version.
Figure 2.


DISCUSSION

Folliculosebaceous cystic hamartoma is a rare benign skin tumor. It usually presents as an exophytic solitary papule or nodule on the head, most commonly on the central part of the face. The age at onset varies from 4 to 47 years. The size ranges from 0.5 x 0.4 to 1.4 x 1.1 cm.1 The histologic features of folliculosebaceous cystic hamartomas include (1) an intradermal cystic structure lined by squamous epithelium that is similar to the epidermal and the infundibular epithelium, (2) numerous sebaceous lobules radiating from the cystic structure, (3) occasional presence of mature . . . [Full Text of this Article]



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RELATED ARTICLE

Multiple Papules and Nodules on the Forearm—Quiz Case
Seong Eon Kim and Chee Won Oh
Arch Dermatol. 2003;139(6):803-808.
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