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Diego E. Marra, MD; Shahram Pourrabbani, MD; Edgar F. Fincher, MD; Ronald L. Moy, MD

Arch Dermatol. 2007;143(5):572-574.

	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

An otherwise healthy 54-year-old white man presented for evaluation of a long-standing, progressive eruption on his cheeks. On physical examination, the affected areas showed large yellowish plaques composed of minute pseudovesicular lesions (Figure 1). The patient admitted to a long history of unprotected sun exposure. His medical history was negative for photosensitizing medications and disorders, and there was no family history of similar skin findings. A biopsy specimen, which was obtained from a representative area on the left cheek, revealed deposition of eosinophilic hyalinized material within the papillary dermis. These large collections distended the dermal papillae, and the hyalinized material showed fracturing artifact. The results of Congo red staining were positive. These findings supported the diagnosis of adult colloid milium (CM). The patient underwent a workup, including a complete blood cell count, metabolic . . . [Full Text of this Article]

THERAPEUTIC CHALLENGE

SOLUTION

COMMENT

AUTHOR INFORMATION

David Geffen School of Medicine, University of California, Los Angeles (Drs Marra, Pourrabbani, Fincher, and Moy), and Department of Internal Medicine, West Los Angeles Veterans Affairs Medical Center (Dr Pourrabbani)