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  Vol. 140 No. 10, October 2004 TABLE OF CONTENTS
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A Red-Brown Plaque on the Nape—Diagnosis

Arch Dermatol. 2004;140:1275-1280.

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

Diagnosis: Solitary mastocytoma.

MICROSCOPIC FINDINGS AND CLINICAL COURSE

Histopathologic examination of the nodule showed a diffuse infiltration of monomorphous mononuclear cells within the upper dermis. The cells contained centrally located oval nuclei. A Giemsa stain demonstrated metachromatic purple granules in the cytoplasm (Figure 4). Immunohistochemical studies showed that the mononuclear cells were positive for common leukocyte antigen and negative for S100 protein, HMB-45, and cytokeratins. The cells were therefore identified as mast cells.


 
Figure appears in full text version.
Figure 4.


No recurrence was noted during a 6-month follow-up period, and the patient was free of bronchial asthma during that time.

DISCUSSION

Mastocytoma may be solitary or multiple and present as a light-brown to red macule, plaque, or nodule.1 It is rarely found in adults.2 In one large series of 112 patients, most solitary mastocytomas were either present at birth or developed within the first month of life.3 Flushing, mild tenderness, and formation of bullae may occur with temperature change or trauma or . . . [Full Text of this Article]



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RELATED ARTICLE

A Red-Brown Plaque on the Nape—Quiz Case
I-Jing Chang, Chia-Yi Yang, Feng-Yi Sung, and Kai-Yam Ng
Arch Dermatol. 2004;140(10):1275-1280.
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