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2010:76:6;721-722
doi: 10.4103/0378-6323.72465
PMID: 21079330

Multiple translucent papules on the face of a middle-aged woman

Sudip Kumar Ghosh, Debabrata Bandyopadhyay, Surajit Kumar Biswas, Rajesh Kumar Mandal
 Department of Dermatology, Venereology, & Leprosy, R.G. Kar Medical College, Kolkata, India

Correspondence Address:
Sudip Kumar Ghosh
Department of Dermatology, Venereology, & Leprosy, R.G. Kar Medical College, Kolkata
India
How to cite this article:
Ghosh SK, Bandyopadhyay D, Biswas SK, Mandal RK. Multiple translucent papules on the face of a middle-aged woman. Indian J Dermatol Venereol Leprol 2010;76:721-722
Copyright: (C)2010 Indian Journal of Dermatology, Venereology, and Leprology

A 56-year-old woman presented with a 12-year history of multiple, small, asymptomatic, elevated skin lesions involving her periorbital areas and cheeks. She had a history of worsening of the skin lesions in the summer and on exposure to heat. Relative improvement of the lesions used to occur in the winter. There was no family history of similar condition. She had no other history of systemic ailment. Examination revealed numerous, skin-colored, tense cystic lesions, ranging in size from 2 to 3 mm in diameter, distributed symmetrically on her periorbital areas and cheeks. Simple puncture of the individual lesion with a sterile needle exuded small amount of serous clear fluid. [Figure - 1] and [Figure - 2] Histopathological examination was undertaken. [Figure - 3]

Figure 1: Multiple skin-colored, tense cystic lesions on cheeks and periorbital area
Figure 2: Puncture of a representative lesion with a sterile needle shows exudation of clear fluid
Figure 3: (a) Normal epidermis with a solitary cyst in the dermis (H and E, ×40). (b) The cyst-wall is lined by cuboidal cells (H and E, ×100). (c) Higher magnification demonstrates the cyst lining is composed of 2– 3 layers of flat cuboidal epithelium (H and E, ×400)

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