This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Nicholas J. Levell, MBChB, MRCP; Clifford M. Lawrence, MD, MRCP

Arch Dermatol. 1994;130(3):373-374.

	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 81-year-old retired nurse presented with a 2-year history of multiple, itchy lesions on her face. The lesions had not improved with topical imidazole and steroid creams, oral griseofulvin, and oral tetracycline. The patient was bathing her face with Dettol, a disinfectant containing chloroxylenol, as she was convinced that she had a fungal infection of the skin. She admitted to vigorously picking the lesions. Physical examination revealed multiple pale, hard papules 2 to 3 mm in diameter that were scattered over both cheeks up to the hairline. The surrounding skin was slightly erythematous and scaly (Figure 1).

A punch biopsy specimen was taken from the right cheek.

What is your diagnosis?

DIAGNOSIS:

Multiple miliary osteoma cutis.

HISTOPATHOLOGIC FINDINGS

The hematoxylin-eosin—stained section showed islands of lamellar bone within the dermis surrounding marrow spaces containing adipocytes (Figure 2). New bone formation by osteoblasts was seen as was an occasional osteoclast.

CLINICAL . . . [Full Text PDF of this Article]

Author Affiliations
Royal Victoria Infirmary, Newcastle-upon-Tyne, England

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?