Keratoacanthoma centrifugum marginatum—A rare variant of keratoacanthoma: Case report and literature review

Keratoacanthoma centrifugum marginatum (KCM) is a rare variant of keratoacanthoma and is characterized by progressive peripheral growth with accompanying central healing. Here, we report a case of multiple KCM. A 53-year-old man presented with multiple erythematous papulonodules on both upper limbs...

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Main Authors: Chao Shiang Sung, Fu Chen Chuang, Ji Chen Ho, Shang Hong Lin
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-03-01
Series:Dermatologica Sinica
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1027811713000037
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author Chao Shiang Sung
Fu Chen Chuang
Ji Chen Ho
Shang Hong Lin
author_facet Chao Shiang Sung
Fu Chen Chuang
Ji Chen Ho
Shang Hong Lin
author_sort Chao Shiang Sung
collection DOAJ
description Keratoacanthoma centrifugum marginatum (KCM) is a rare variant of keratoacanthoma and is characterized by progressive peripheral growth with accompanying central healing. Here, we report a case of multiple KCM. A 53-year-old man presented with multiple erythematous papulonodules on both upper limbs and neck for >2 years. His skin lesions enlarged in an annular manner with central residual cribriform scarring that eventually formed confluent plaques (2–8 cm in diameter) with elevated hyperkeratotic borders. Skin biopsy of a developed matured nodule on the right forearm was consistent with that of classical keratoacanthoma. KCM was diagnosed on the basis of clinical and pathological presentation. Low-dose acitretin (0.7 mg/kg/day) was administered and the skin lesions improved significantly within 3 months after the treatment. In this case, we present the clinical and histological features of KCM and discuss the different effective treatment modalities.
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spelling doaj.art-c738198a32fd416c91af2aba288528702022-12-21T19:08:10ZengWolters Kluwer Medknow PublicationsDermatologica Sinica1027-81172014-03-01321252810.1016/j.dsi.2013.01.002Keratoacanthoma centrifugum marginatum—A rare variant of keratoacanthoma: Case report and literature reviewChao Shiang Sung0Fu Chen Chuang1Ji Chen Ho2Shang Hong Lin3Department of Dermatology, Chang Gung Memorial Hospital—Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, TaiwanDepartment of Dermatology, Chang Gung Memorial Hospital—Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, TaiwanDepartment of Dermatology, Chang Gung Memorial Hospital—Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, TaiwanDepartment of Dermatology, Chang Gung Memorial Hospital—Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, TaiwanKeratoacanthoma centrifugum marginatum (KCM) is a rare variant of keratoacanthoma and is characterized by progressive peripheral growth with accompanying central healing. Here, we report a case of multiple KCM. A 53-year-old man presented with multiple erythematous papulonodules on both upper limbs and neck for >2 years. His skin lesions enlarged in an annular manner with central residual cribriform scarring that eventually formed confluent plaques (2–8 cm in diameter) with elevated hyperkeratotic borders. Skin biopsy of a developed matured nodule on the right forearm was consistent with that of classical keratoacanthoma. KCM was diagnosed on the basis of clinical and pathological presentation. Low-dose acitretin (0.7 mg/kg/day) was administered and the skin lesions improved significantly within 3 months after the treatment. In this case, we present the clinical and histological features of KCM and discuss the different effective treatment modalities.http://www.sciencedirect.com/science/article/pii/S1027811713000037acitretinkeratoacanthomakeratoacanthoma centrifugum marginatum
spellingShingle Chao Shiang Sung
Fu Chen Chuang
Ji Chen Ho
Shang Hong Lin
Keratoacanthoma centrifugum marginatum—A rare variant of keratoacanthoma: Case report and literature review
Dermatologica Sinica
acitretin
keratoacanthoma
keratoacanthoma centrifugum marginatum
title Keratoacanthoma centrifugum marginatum—A rare variant of keratoacanthoma: Case report and literature review
title_full Keratoacanthoma centrifugum marginatum—A rare variant of keratoacanthoma: Case report and literature review
title_fullStr Keratoacanthoma centrifugum marginatum—A rare variant of keratoacanthoma: Case report and literature review
title_full_unstemmed Keratoacanthoma centrifugum marginatum—A rare variant of keratoacanthoma: Case report and literature review
title_short Keratoacanthoma centrifugum marginatum—A rare variant of keratoacanthoma: Case report and literature review
title_sort keratoacanthoma centrifugum marginatum a rare variant of keratoacanthoma case report and literature review
topic acitretin
keratoacanthoma
keratoacanthoma centrifugum marginatum
url http://www.sciencedirect.com/science/article/pii/S1027811713000037
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AT jichenho keratoacanthomacentrifugummarginatumararevariantofkeratoacanthomacasereportandliteraturereview
AT shanghonglin keratoacanthomacentrifugummarginatumararevariantofkeratoacanthomacasereportandliteraturereview