Pilomatricoma With Bullous Appearance: A Case Report
Introduction:. Pilomatricoma is usually a solitary, deep dermal firm nodule with an overlying normal epidermis. Bullous pilomatricoma is rarely reported; thus, its pathogenesis has not been elucidated. We report a case presenting the pilomatricoma with bullous change. Case presentation:. A 19-year-o...
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Format: | Article |
Language: | English |
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Wolters Kluwer Health
2023-06-01
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Series: | International Journal of Dermatology and Venerology |
Online Access: | http://journals.lww.com/10.1097/JD9.0000000000000174 |
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author | Yue-Ying Fan Jin-Fu Li Ying-Jun Su Chi-Yu Jia |
author_facet | Yue-Ying Fan Jin-Fu Li Ying-Jun Su Chi-Yu Jia |
author_sort | Yue-Ying Fan |
collection | DOAJ |
description | Introduction:. Pilomatricoma is usually a solitary, deep dermal firm nodule with an overlying normal epidermis. Bullous pilomatricoma is rarely reported; thus, its pathogenesis has not been elucidated.
We report a case presenting the pilomatricoma with bullous change.
Case presentation:. A 19-year-old female presented a firm nodule covered by a bulla on her right upper arm. Histopathological examination showed the tumor was composed of basophilic basal-like cells and shadow cells. No cellular atypia or abnormal mitotic figures were observed. All these clinical characteristics and pathological results point to the diagnosis of bullous pilomatricoma. The tumor was surgically removed by enlargement.
Discussion:. We hypothesize that a history of trauma and rapid growth may contribute to the diagnosis of the bullous pilomatricoma. The appearance of the bullous can be explained by the dilated lymphatic vessels seen in histopathologic examination. We give a case report help clinicians to better diagnose this entity and decrease the rate of misdiagnosis.
Conclusion:. We observed a rare bullous variant of pilomatricoma. Hence, when identifying a patient of bullous pilomatricoma, a detailed medical history and physical examination are essential. |
first_indexed | 2024-03-13T02:27:39Z |
format | Article |
id | doaj.art-f10cae0f05f744cfb60091398e1ed8e1 |
institution | Directory Open Access Journal |
issn | 2096-5540 |
language | English |
last_indexed | 2024-03-13T02:27:39Z |
publishDate | 2023-06-01 |
publisher | Wolters Kluwer Health |
record_format | Article |
series | International Journal of Dermatology and Venerology |
spelling | doaj.art-f10cae0f05f744cfb60091398e1ed8e12023-06-30T01:51:51ZengWolters Kluwer HealthInternational Journal of Dermatology and Venerology2096-55402023-06-016211812010.1097/JD9.0000000000000174202306000-00012Pilomatricoma With Bullous Appearance: A Case ReportYue-Ying Fan0Jin-Fu Li1Ying-Jun Su2Chi-Yu Jia3Department of Burns and Plastic & Wound Repair Surgery, Xiang’an Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian 361102, China.Department of Burns and Plastic & Wound Repair Surgery, Xiang’an Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian 361102, China.Department of Burns and Plastic & Wound Repair Surgery, Xiang’an Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian 361102, China.Department of Burns and Plastic & Wound Repair Surgery, Xiang’an Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian 361102, China.Introduction:. Pilomatricoma is usually a solitary, deep dermal firm nodule with an overlying normal epidermis. Bullous pilomatricoma is rarely reported; thus, its pathogenesis has not been elucidated. We report a case presenting the pilomatricoma with bullous change. Case presentation:. A 19-year-old female presented a firm nodule covered by a bulla on her right upper arm. Histopathological examination showed the tumor was composed of basophilic basal-like cells and shadow cells. No cellular atypia or abnormal mitotic figures were observed. All these clinical characteristics and pathological results point to the diagnosis of bullous pilomatricoma. The tumor was surgically removed by enlargement. Discussion:. We hypothesize that a history of trauma and rapid growth may contribute to the diagnosis of the bullous pilomatricoma. The appearance of the bullous can be explained by the dilated lymphatic vessels seen in histopathologic examination. We give a case report help clinicians to better diagnose this entity and decrease the rate of misdiagnosis. Conclusion:. We observed a rare bullous variant of pilomatricoma. Hence, when identifying a patient of bullous pilomatricoma, a detailed medical history and physical examination are essential.http://journals.lww.com/10.1097/JD9.0000000000000174 |
spellingShingle | Yue-Ying Fan Jin-Fu Li Ying-Jun Su Chi-Yu Jia Pilomatricoma With Bullous Appearance: A Case Report International Journal of Dermatology and Venerology |
title | Pilomatricoma With Bullous Appearance: A Case Report |
title_full | Pilomatricoma With Bullous Appearance: A Case Report |
title_fullStr | Pilomatricoma With Bullous Appearance: A Case Report |
title_full_unstemmed | Pilomatricoma With Bullous Appearance: A Case Report |
title_short | Pilomatricoma With Bullous Appearance: A Case Report |
title_sort | pilomatricoma with bullous appearance a case report |
url | http://journals.lww.com/10.1097/JD9.0000000000000174 |
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