Generic selectors
Exact matches only
Search in title
Search in content
Filter by Categories
15th National Conference of the IAOMFP, Chennai, 2006
Abstract
Abstracts from current literature
Acne in India: Guidelines for management - IAA Consensus Document
Addendum
Announcement
Art & Psychiatry
Article
Articles
Association Activities
Association Notes
Award Article
Book Review
Brief Report
Case Analysis
Case Letter
Case Letters
Case Notes
Case Report
Case Reports
Clinical and Laboratory Investigations
Clinical Article
Clinical Studies
Clinical Study
Commentary
Conference Oration
Conference Summary
Continuing Medical Education
Correspondence
Corrigendum
Cosmetic Dermatology
Cosmetology
Current Best Evidence
Current Issue
Current View
Derma Quest
Dermato Surgery
Dermatopathology
Dermatosurgery Specials
Dispensing Pearl
Do you know?
Drug Dialogues
e-IJDVL
Editor Speaks
Editorial
Editorial Remarks
Editorial Report
Editorial Report - 2007
Editorial report for 2004-2005
Errata
Erratum
Focus
Fourth All India Conference Programme
From Our Book Shelf
From the Desk of Chief Editor
General
Get Set for Net
Get set for the net
Guest Article
Guest Editorial
History
How I Manage?
IADVL Announcement
IADVL Announcements
IJDVL Awards
IJDVL AWARDS 2015
IJDVL Awards 2018
IJDVL Awards 2019
IJDVL Awards 2020
IJDVL International Awards 2018
Images in Clinical Practice
In Memorium
Inaugural Address
Index
Knowledge From World Contemporaries
Leprosy Section
Letter in Response to Previous Publication
Letter to Editor
Letter to the Editor
Letter to the Editor - Case Letter
Letter to the Editor - Letter in Response to Published Article
LETTER TO THE EDITOR - LETTERS IN RESPONSE TO PUBLISHED ARTICLES
Letter to the Editor - Observation Letter
Letter to the Editor - Study Letter
Letter to the Editor - Therapy Letter
Letter to the Editor: Articles in Response to Previously Published Articles
Letters in Response to Previous Publication
Letters to the Editor
Letters to the Editor - Letter in Response to Previously Published Articles
Letters to the Editor: Case Letters
Letters to the Editor: Letters in Response to Previously Published Articles
Medicolegal Window
Messages
Miscellaneous Letter
Musings
Net Case
Net case report
Net Image
Net Letter
Net Quiz
Net Study
New Preparations
News
News & Views
Obituary
Observation Letter
Observation Letters
Oration
Original Article
ORIGINAL CONTRIBUTION
Original Contributions
Pattern of Skin Diseases
Pearls
Pediatric Dermatology
Pediatric Rounds
Perspective
Presedential Address
Presidential Address
Presidents Remarks
Quiz
Recommendations
Regret
Report
Report of chief editor
Report of Hon : Treasurer IADVL
Report of Hon. General Secretary IADVL
Research Methdology
Research Methodology
Resident page
Resident's Page
Resident’s Page
Residents' Corner
Residents' Corner
Residents' Page
Retraction
Review
Review Article
Review Articles
Revision Corner
Self Assessment Programme
SEMINAR
Seminar: Chronic Arsenicosis in India
Seminar: HIV Infection
Short Communication
Short Communications
Short Report
Special Article
Specialty Interface
Studies
Study Letter
Supplement-Photoprotection
Supplement-Psoriasis
Symposium - Contact Dermatitis
Symposium - Lasers
Symposium - Pediatric Dermatoses
Symposium - Psoriasis
Symposium - Vesicobullous Disorders
SYMPOSIUM - VITILIGO
Symposium Aesthetic Surgery
Symposium Dermatopathology
Symposium-Hair Disorders
Symposium-Nails Part I
Symposium-Nails-Part II
Systematic Reviews and Meta-analyses
Systematic Reviews and Meta-analysis
Tables
Technology
Therapeutic Guidelines
Therapeutic Guidelines - IADVL
Therapeutics
Therapy
Therapy Letter
View Point
Viewpoint
What’s new in Dermatology
View/Download PDF

Translate this page into:

Quiz
2017:83:4;513-515
doi: 10.4103/ijdvl.IJDVL_432_16
PMID: 28440231

Multiple asymptomatic hard papules on cheeks in an elderly woman

Ram Chander1 , Taru Garg1 , Sarita Sanke1 , Kiran Agarwal2 , Aruna Chhikara2
1 Department of Dermatology and STD, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
2 Department of Pathology, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India

Correspondence Address:
Sarita Sanke
Department of Dermatology and STD, Lady Hardinge Medical College, Shaheed Bhagat Singh Marg, New Delhi - 110 001
India
How to cite this article:
Chander R, Garg T, Sanke S, Agarwal K, Chhikara A. Multiple asymptomatic hard papules on cheeks in an elderly woman. Indian J Dermatol Venereol Leprol 2017;83:513-515
Copyright: (C)2017 Indian Journal of Dermatology, Venereology, and Leprology

A 55-year-old woman, recently diagnosed with dermatomyositis, presented with multiple, tiny, firm papular lesions on cheeks for many years. These lesions were asymptomatic with no history of ulceration or discharge. Past history was notable for the presence of severe facial acne vulgaris during adolescence and early adulthood. On examination, there were multiple small round to irregular-shaped skin-colored, hard, monomorphic papules on both cheeks [Figure - 1]. There were no similar lesions elsewhere. Patient had characteristic cutaneous manifestations of dermatomyositis - V sign, shawl sign, heliotrope rash, Gottron's sign and holster sign) with proximal muscle weakness.

Figure 1: Multiple, round to irregularly shaped skin colored, monomorphic papules on cheek

Histopathology from the papule showed fibrocollagenous tissue with round to irregular, large homogeneous amorphous basophilic staining deposits in the deep dermis and subcutis. The dermis also showed spicules of crescentic eosinophilic material housing cells held within small lacunae, associated with mature adipose tissue.[Figure - 2],[Figure - 3],[Figure - 4].

Figure 2: Round to irregular, large homogeneous amorphous basophilic staining deposits in the deep dermis and subcutis and spicules of crescentic eosinophilic material (H and E, 10x)
Figure 3: Round to irregular, large homogeneous amorphous basophilic staining deposits in the deep dermis and subcutis and spicules of crescentic eosinophilic material (H and E, ×100)
Figure 4: Crescentic eosinophilic material housing cells held within small lacunae, associated with mature adipose tissue (H and E, ×400)

Question

What is your diagnosis?



Click here to view answer. View Answer

References
1.
Essing M. Osteoma cutis of the forehead. HNO 1985;33:548-50.
[Google Scholar]
2.
Gfesser M, Worret WI, Hein R, Ring J. Multiple primary osteoma cutis. Arch Dermatol 1998;134:641-3.
[Google Scholar]
3.
Mast AM, Hansen R. Multiple papules on the elbows. Congenital osteoma cutis. Arch Dermatol 1997;133:777-80.
[Google Scholar]
4.
Altman JF, Nehal KS, Busam KJ, Halpern AC. Treatment of primary miliary osteoma cutis with incision, curettage, and primary closure. J Am Acad Dermatol 2001;44:96-9.
[Google Scholar]
5.
MyllyläRM, Haapasaari KM, Palatsi R, Germain-Lee EL, Hägg PM, Ignatius J, et al. Multiple miliary osteoma cutis is a distinct disease entity: Four case reports and review of the literature. Br J Dermatol 2011;164:544-52.
[Google Scholar]

Fulltext Views
499

PDF downloads
160
Show Sections