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LCDR David J. Barnette, Jr, MC; CDR Mark Cobb, MC

Arch Dermatol. 1995;131(2):213-214.

	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

A 39-year-old white woman presented complaining of a pruritic lesion on her lower abdomen. It had not changed significantly since she noted it 6 months previously. It would occasionally crust over and was intermittently pruritic.

Her medical and family history and a review of systems were unremarkable.

Cutaneous examination revealed a single 3-mm, wellcircumscribed, erythematous papule with central umbilication on the left lower abdomen just above the belt line (Figure 1). There were no other skin, nail, or mucosal findings.

A shave biopsy specimen of the lesion revealed hyperkeratosis, extensive suprabasalar acantholysis, and a superficial dermal round cell infiltrate (Figure 2 and Figure 3).

What is your diagnosis?

DIAGNOSIS:

Acantholytic acanthoma.

DISCUSSION

The solitary acantholytic acanthoma is a benign cutaneous tumor probably seen much more commonly than is reported. First described by Brownstein¹ in 1985, his review of 31 . . . [Full Text PDF of this Article]

Author Affiliations
USN; USN; National Naval Medical Center, Bethesda, Md

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