Eccrine poroma: The prominent mimicker
Background: Eccrine poroma (EP) is an adnexal benign tumor arising from the eccrine duct epithelium. The appearance of EP can mimic benign and malignant skin tumors, thus often making the diagnosis delayed or inaccurate. Case Illustration: We report two cases of EP, with clinical and dermoscopic...
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| Format: | Article |
| Language: | English |
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Universitas Indonesia
2018-12-01
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| Series: | JDVI (Journal of General Procedural Dermatology & Venereology Indonesia) |
| Subjects: | |
| Online Access: | http://www.jgenprodvi.ui.ac.id/index.php/jdvi/article/view/89/pdf |
| _version_ | 1818807466697162752 |
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| author | Nahla Shihab Inge Ade Krisanti Adhimukti T. Sampurna Larisa Paramitha Wibawa |
| author_facet | Nahla Shihab Inge Ade Krisanti Adhimukti T. Sampurna Larisa Paramitha Wibawa |
| author_sort | Nahla Shihab |
| collection | DOAJ |
| description | Background: Eccrine poroma (EP) is an adnexal benign tumor arising from the eccrine duct epithelium. The
appearance of EP can mimic benign and malignant skin tumors, thus often making the diagnosis delayed or
inaccurate.
Case Illustration: We report two cases of EP, with clinical and dermoscopic features mimicking Bowen’s
disease, verruca vulgaris, pyogenic granuloma, skin metastases of breast cancer, and amelanotic
melanoma. Both patients were surgically excised and biopsied. Histopathology examination of both cases
revealed eccrine poroma.
Discussion: Both cases showed similarity with the theories, that EP is most found in middle age population
and its predilection on extremities. The dermoscopy appearance of the first patient showed two major
components, multiple red dots and lacunae mimicking glomerular vessels, and multiple whitish halos-likekeratosis. Red dots with whitish halos can be seen in dermoscopy of verruca vulgaris, while glomerular
vessels and keratosis is usually found in Bowen’s disease. The dermoscopy examination of our second
patient only showed some loop hemorrhagic and thrombosed vessels, which are quite inconclusive.
Diagnoses were made with histopathology examination which revealed similar pattern of eccrine poroma in
both cases.
Conclusion: EP is a prominent mimicker, often misdiagnosed because it is uncommon in clinical practice,
has variable clinical presentations and dermoscopic appearances. Hence, recognizing and diagnosing this
disease becomes a challenge for dermatologist. |
| first_indexed | 2024-12-18T19:26:07Z |
| format | Article |
| id | doaj.art-9239c7da6b634d0f816051a8f2e58f98 |
| institution | Directory Open Access Journal |
| issn | 2460-7991 2460-7991 |
| language | English |
| last_indexed | 2024-12-18T19:26:07Z |
| publishDate | 2018-12-01 |
| publisher | Universitas Indonesia |
| record_format | Article |
| series | JDVI (Journal of General Procedural Dermatology & Venereology Indonesia) |
| spelling | doaj.art-9239c7da6b634d0f816051a8f2e58f982022-12-21T20:55:51ZengUniversitas IndonesiaJDVI (Journal of General Procedural Dermatology & Venereology Indonesia)2460-79912460-79912018-12-01311510.19100/jdvi.v3i1.89Eccrine poroma: The prominent mimickerNahla Shihab0 Inge Ade Krisanti1 Adhimukti T. Sampurna2 Larisa Paramitha Wibawa3Department of Dermatology and Venereology, Faculty of Medicine Universitas Indonesia dr. Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Dermatology and Venereology, Faculty of Medicine Universitas Indonesia dr. Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Dermatology and Venereology, Faculty of Medicine Universitas Indonesia dr. Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Dermatology and Venereology, Faculty of Medicine Universitas Indonesia dr. Cipto Mangunkusumo Hospital, Jakarta, IndonesiaBackground: Eccrine poroma (EP) is an adnexal benign tumor arising from the eccrine duct epithelium. The appearance of EP can mimic benign and malignant skin tumors, thus often making the diagnosis delayed or inaccurate. Case Illustration: We report two cases of EP, with clinical and dermoscopic features mimicking Bowen’s disease, verruca vulgaris, pyogenic granuloma, skin metastases of breast cancer, and amelanotic melanoma. Both patients were surgically excised and biopsied. Histopathology examination of both cases revealed eccrine poroma. Discussion: Both cases showed similarity with the theories, that EP is most found in middle age population and its predilection on extremities. The dermoscopy appearance of the first patient showed two major components, multiple red dots and lacunae mimicking glomerular vessels, and multiple whitish halos-likekeratosis. Red dots with whitish halos can be seen in dermoscopy of verruca vulgaris, while glomerular vessels and keratosis is usually found in Bowen’s disease. The dermoscopy examination of our second patient only showed some loop hemorrhagic and thrombosed vessels, which are quite inconclusive. Diagnoses were made with histopathology examination which revealed similar pattern of eccrine poroma in both cases. Conclusion: EP is a prominent mimicker, often misdiagnosed because it is uncommon in clinical practice, has variable clinical presentations and dermoscopic appearances. Hence, recognizing and diagnosing this disease becomes a challenge for dermatologist.http://www.jgenprodvi.ui.ac.id/index.php/jdvi/article/view/89/pdfadnexal tumordermoscopyeccrine poroma |
| spellingShingle | Nahla Shihab Inge Ade Krisanti Adhimukti T. Sampurna Larisa Paramitha Wibawa Eccrine poroma: The prominent mimicker JDVI (Journal of General Procedural Dermatology & Venereology Indonesia) adnexal tumor dermoscopy eccrine poroma |
| title | Eccrine poroma: The prominent mimicker |
| title_full | Eccrine poroma: The prominent mimicker |
| title_fullStr | Eccrine poroma: The prominent mimicker |
| title_full_unstemmed | Eccrine poroma: The prominent mimicker |
| title_short | Eccrine poroma: The prominent mimicker |
| title_sort | eccrine poroma the prominent mimicker |
| topic | adnexal tumor dermoscopy eccrine poroma |
| url | http://www.jgenprodvi.ui.ac.id/index.php/jdvi/article/view/89/pdf |
| work_keys_str_mv | AT nahlashihab eccrineporomatheprominentmimicker AT ingeadekrisanti eccrineporomatheprominentmimicker AT adhimuktitsampurna eccrineporomatheprominentmimicker AT larisaparamithawibawa eccrineporomatheprominentmimicker |