Syringoma is a benign, eccrine sweat gland tumor. The typical clinical appearance of syringoma is firm, skincolored to brown papules on the lower eye lids of middle aged women. Familial syringoma is rare, but possibly is underestimated in prevalence. Eruptive syringoma, a separate entity, presents mostly in adolescents as clusters of numerous papules on the upper half of the body. Familial erup...

AN 85-YEAR-OLD MAN IS ADMITTED FOR EVALUATION OF MULTIPLE PAPULES, plaques, and subcutaneous nodules on his face, trunk, and extremities. The patient has itching. There is no history of trauma. He has an 8-year history of diabetes and Sjögren syndrome with eye and mouth involvement and has been treated with varied doses of oral methylprednisolone for 5 years. During the 3 years prior to admissi...

Familial multiple trichodiscomas is a condition characterized by multiple asymptomatic skin papules. The inheritance pattern has not been established. The skin lesions usually appear in childhood. The diagnosis of the cutaneous papules is established by pathologic evaluation. Birt-Hogg-Dubé syndrome is excluded by not detecting any aberration in the folliculin gene locus. Including our patient,...

Demodicidosis may present as pityriasis folliculitis, papulopustular lesions, rosacea-like eruptions, and granulomatous rosacea-like eruptions. The diagnosis of demodicidosis made by finding extrafollicular mites in the perifollicular inflammatory infiltrate. The papules resolved after 3 weeks of systemic and topical metronidazole, and low-dose oral prednisolone therapy. In summary, demodex gra...

Piezogenic pedal papules are skin-colored lesions on the heels caused by herniation of fat through the connective stroma. They are induced by weight bearing or pressure to the soles. We report a case of a 51-year-old female who had multiple painful skin-colored papules on the medial and lateral aspects of the left heel when applying force on it. Microscopically, the collagen bundles of the trab...

68 CONSULTANT FOR PEDIATRICIANS | February 2015 | PediatricsConsultant360.com Visit PediatricsConsultant360.com to challenge your diagnostic acumen with past What’s Your Diagnosis? cases. You’ll also find dozens of past Photo Quiz, Radiology Quiz, and Dermclinic quizzes there to help hone your clinical analytical abilities. A 15-year-old boy presented with asymptomatic, erythematous papules and...

An 80-year-old man visited our department with asymptomatic skin lesions that had appeared 2 months earlier. The patient stated that he was not receiving any regular treatments and had not been administered new drugs; he reported no fever or other symptoms and did not recall having been bitten or stung. Physical examination revealed erythematous papules on the upper part of the torso; the papul...

Human volunteers were challenged with Haemophilus ducreyi. Twenty subjects were inoculated with 2 doses (approximately 30 cfu) of live and 1 dose of heat-killed bacteria at 3 sites on the arm. Eight subjects were assigned to biopsy 1 or 4 days after inoculation, and 12 were biopsied after they developed a painful pustular lesion or were followed until disease resolved. Papules developed at 95% ...

Herein, we report a 36-year-old Asian male patient who presented with grouped multiple erythematous waxy papules and nodules on his right medial thigh. He had undergone amputation of the right second toe because of a stage IIa malignant melanoma, 3 years previously. At the time of surgery for the primary tumor, right inguinal lymph node dissection revealed no nodal involvement. Three years afte...

An 80-year-old man visited our department with asymptomatic skin lesions that had appeared 2 months earlier. The patient stated that he was not receiving any regular treatments and had not been administered new drugs; he reported no fever or other symptoms and did not recall having been bitten or stung. Physical examination revealed erythematous papules on the upper part of the torso; the papul...