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Philip R. Cohen, MD; Jaime A. Tschen, MD

Arch Dermatol. 1992;128(4):547-548.

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

REPORT OF A CASE

An asymptomatic papule was discovered on the scalp of a 36-year-old woman by her hairdresser. During the subsequent 4 months, the lesion continued to enlarge and would occasionally bleed when traumatized. The 5-mm nodule had a flesh-colored papillary surface, was nontender, and was located on the vertex of the scalp (Fig 1). The woman was otherwise healthy; her only medication was an oral contraceptive that she had been using for several years.

An excisional biopsy specimen for histopathologic evaluation and treatment was obtained (Figs 2 and 3). The sections were stained with periodic acid—Schiff (Figs 4 and 5) and were examined under low and high power.

What is your diagnosis?

DIAGNOSIS:

Eccrine acrospiroma.

HISTOPATHOLOGIC FINDINGS

Sharply well-circumscribed epithelial lobules were found in the specimen, extending throughout the entire thickness of the dermis. Clear-cell nests were found in some of these proliferations. . . . [Full Text PDF of this Article]

Author Affiliations
Pasadena (Tex) Dermatology Clinic and Department of Dermatology, Baylor College of Medicine, Houston, Tex

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