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SKINDIA QUIZ
Year : 2017  |  Volume : 8  |  Issue : 2  |  Page : 155-156  

SkIndia quiz 35: A girl with multiple papules


1 Department of Pathology, Shrimati Kashibai Navale Medical College and General Hospital, Pune, Maharashtra, India
2 Department of Dermatology, Shrimati Kashibai Navale Medical College and General Hospital, Pune, Maharashtra, India

Date of Web Publication16-Mar-2017

Correspondence Address:
Siddhi Gaurish Sinai Khandeparkar
Shrimati Kashibai Navale Medical College and General Hospital, Narhe, Off Pune-Mumbai, Pune - 411 041, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5178.198810

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How to cite this article:
Sinai Khandeparkar SG, Kulkarni MM, Deshmukh S, More YE. SkIndia quiz 35: A girl with multiple papules. Indian Dermatol Online J 2017;8:155-6

How to cite this URL:
Sinai Khandeparkar SG, Kulkarni MM, Deshmukh S, More YE. SkIndia quiz 35: A girl with multiple papules. Indian Dermatol Online J [serial online] 2017 [cited 2017 May 27];8:155-6. Available from: http://www.idoj.in/text.asp?2017/8/2/155/198810

A two-and-a-half-year-old female child presented with multiple round to oval, reddish-brown, slightly elevated, asymptomatic lesions since 3 months of age over her face and upper limbs. The lesions were initially few in number and gradually increased over a period of one year. On clinical examination, multiple, well-defined, bilaterally symmetrical, skin colored to pink to reddish-brown macules and papules of about 0.5 × 0.5 cm were seen over the face [Figure 1], ears, upper limbs, and distal aspect of lower limbs. Her family history, general and systemic examination findings were normal. Routine laboratory investigations such as complete blood count, liver and renal function tests, and lipid profile were normal. A skin biopsy was taken from the papule over the arm. On histopathological examination, the epidermis showed mild hyperkeratosis, and the upper dermis showed collections of multinucleated giant cells with multiple small cytoplasmic vacuolations, of Touton type with a few collagen bundles in between. Mild chronic lymphoplasmacytic infiltrate was noted in perivascular and periadnexal areas [Figure 2].
Figure 1: Clinical photograph: Symmetrically distributed skin colored to pinkish to reddish brown macules and few papules of about 0.5 × 0.5cm seen over face

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Figure 2: Photomicrograph of tumor: upper dermis showing collections of Touton type of giant cells (H and E, ×400)

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   References Top

1.
Adamson HG. Society intelligence: The Dermatological Society of London. Br J Dermatol 1905;17:222.  Back to cited text no. 1
    
2.
Aburezq H, Jaeger M, Iyengar P, Zuker R. Juvenile xanthogranuloma of the nose. Can J Plast Surg 2004;12:198-200.  Back to cited text no. 2
    
3.
Cypel TK, Zuker RM. Juvenile xanthogranuloma: Case report and review of the literature. Can J Plast Surg 2008;16:175-7.  Back to cited text no. 3
    


    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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