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  Vol. 143 No. 12, December 2007 TABLE OF CONTENTS
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Soft Papules and Nodules on the Buttock—Diagnosis

Arch Dermatol. 2007;143(12):1583-1588.

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

Diagnosis: Nevus lipomatosus cutaneus superficialis (NLCS).

MICROSCOPIC FINDINGS AND CLINICAL COURSE

The histologic findings were similar in both specimens (Figure 2 and Figure 3). The epidermis was normal to slightly papillomatous, and there were aggregates of mature adipocytes in the deep dermis. These findings supported the clinical diagnosis. The patient was referred to a plastic surgeon and underwent excision of a 13 x 4-cm segment of the lesion under general anesthesia. The current plan is to continue staged excision until the lesion is completely removed.


 
Figure appears in full text version.
Figure 2.



 
Figure appears in full text version.
Figure 3.


DISCUSSION

Nevus lipomatosus cutaneus superficialis is a rare idiopathic hamartomatous anomaly that was first described by Hoffmann and Zurhelle1 in 1921. Two clinical types of NLCS are recognized. The classic (or multiple) type1 usually presents within the first 3 decades of life. It consists of asymptomatic, grouped, soft, skin-colored to yellow papules, nodules, and plaques with a smooth, wrinkled, cerebriform or verrucous surface.2-3 The lesions tend to be unilateral, with a . . . [Full Text of this Article]


RELATED ARTICLE

Soft Papules and Nodules on the Buttock—Quiz Case
Marlyanne M. Pol-Rodriguez, Kristin M. Nord, and Danielle E. Engler
Arch Dermatol. 2007;143(12):1583-1588.
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