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Images in Clinical Practice
89 (
3
); 460-461
doi:
10.25259/IJDVL_497_2021
pmid:
35146984

Multiple trichoepitheliomas co-existing with a giant solitary trichoepithelioma: A rarity

Vignesh Skin and Hair Clinic, Puducherry, India
Department of Dermatology, Venereology and Leprology, Pondicherry Institute of Medical Sciences, Puducherry, India

Corresponding author: Prof. Rangaraj M, 30, First Cross Street, Thirumal Nagar, Kosapalayam, Puducherry, India. rangaraj06@gmail.com

Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Rangaraj M, Kuruvila S, Nithiyaa P. Multiple trichoepitheliomas co-existing with a giant solitary trichoepithelioma: A rarity. Indian J Dermatol Venereol Leprol 2023;89:460-1.

A 48-year-old male came to the dermatology clinic with multiple discrete, well-defined skin coloured papules and nodules clustered over the nasolabial fold, nose, upper lip, eyebrows and forehead for the past ten years. A single, large, firm nodule of size 6 × 4 cm was seen emerging amongst the smaller papules over the forehead [Figure 1]. Buttonhole sign elicited on the giant and smaller lesions was negative. No dimpling was seen on the lesions. There were no café au lait macules seen.

Multiple discrete, well defined skin coloured papules and nodules clustered over the nasolabial fold, nose, upper lip, eyebrows and forehead along with a single, large, firm nodule of size 6 × 4 cm seen emerging amongst the smaller lesions on the forehead
Figure 1:
Multiple discrete, well defined skin coloured papules and nodules clustered over the nasolabial fold, nose, upper lip, eyebrows and forehead along with a single, large, firm nodule of size 6 × 4 cm seen emerging amongst the smaller lesions on the forehead

Histopathological examination of the giant nodule and one of the papules revealed nest of peripheral palisading basaloid cells with focal hyaline matrix and horn cyst suggestive of trichoepithelioma.This case is reported as multiple trichoepitheliomas co-existing with a giant solitary trichoepithelioma is a rare presentation.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.


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