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Glabellar pomade crust mimicking dyskeratosis follicularis
Author(s) -
Wollina Uwe,
Hansel Gesina,
Köstler Erich,
Schönlebe Jaqueline
Publication year - 2006
Publication title -
journal of cosmetic dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.626
H-Index - 44
eISSN - 1473-2165
pISSN - 1473-2130
DOI - 10.1111/j.1473-2165.2006.00224.x
Subject(s) - medicine , dermatology , forehead , dyskeratosis , acanthosis , milia , biopsy , itching , hyperkeratosis , surgery , pathology
Summary A 79‐year‐old female patient presented with a slowly developing crusting, itching verrucous lesion of the forehead of 3 months’ duration. She had no personal or family history of skin disease. On examination she presented with a hyperpigmented plaque of the glabellar region that resembled dyskeratosis follicularis Darier. A detailed medical history was taken and a skin biopsy was performed. Epidermal acanthosis and enlargement of follicle ostia with foreign material were found. The patient reported use of an ointment twice daily. She had a single cosmetic treatment where powder of unspecified composition had been used. The diagnosis of pomade crust was confirmed. Follicular material was enucleated mechanically and the area was treated with a metronidazole cream. The lesions completely disappeared.