Skip Navigation LinksHome > October 2012 - Volume 34 - Issue 7 > Nodular Lesions of Self-healing Juvenile Cutaneous Mucinosis...
American Journal of Dermatopathology:
doi: 10.1097/DAD.0b013e3182459345
Original Study

Nodular Lesions of Self-healing Juvenile Cutaneous Mucinosis: A Pitfall!

Barreau, Morgane MD*; Dompmartin-Blanchère, Anne MD, PhD*; Jamous, Roula MD; Chababi, Myrna MD; Soutou, Boutros MD§; Reynier-Rezzi, Judith MD; Laplaud, Anne-Laure MD*; Acher, Aurélie MD; Rod, Julien MD**; Jeanne-Pasquier, Corinne MD††; Fraitag, Sylvie MD‡‡

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Abstract

Abstract: Self-healing juvenile cutaneous mucinosis (SHJCM) is a rare disorder of unknown origin, which occurs in children in good health. It is characterized by the multiplication of transient cutaneous papules and nodules, mainly located on the head and periarticular areas that spontaneously resolve. Histological features of SHJCM have been well described; therefore, the diagnosis is usually made easily when papules are biopsied. We report a series of 3 new cases of SHJCM presenting mainly with nodular lesions. Histological examination of these nodules showed either lesions consistent with nodular or proliferative fasciitis or nonspecific panniculitis. Mucinous deposits were present but often inconspicuous, so could be disregarded. We wanted to emphasize this misleading presentation because a biopsy for histological examination is always mandatory in cases of proliferating nodules to rule out malignant tumors. Therefore, the diagnosis always requires discussion between pathologists and clinicians to rapidly reassure the parents and avoid inappropriate therapy.

© 2012 Lippincott Williams & Wilkins, Inc.

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