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What is your diagnosis?

El-Komy, Mohamed H.M.

Journal of the Egyptian Women's Dermatologic Society: May 2016 - Volume 13 - Issue 2 - p 116–117
doi: 10.1097/01.EWX.0000481516.47465.ac
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Department of Dermatology, Faculty of Medicine, Cairo University, Giza, Egypt

Correspondence to Mohamed H.M. El-Komy, MD, Department of Dermatology, Faculty of Medicine, Cairo University, 11562 Giza, Egypt e-mail: m_elkomy@kasralainy.edu.eg

A 36-year-old lady presented with these symptomless lesions around both eyes (Fig. 1). The condition, which had started only 3 years earlier with seasonal exacerbations, was progressive in nature.

Figure 1

Figure 1

  • The most probable diagnosis of this case is:
    • Basal cell carcinoma
    • Syringoma
    • Eccrine hidrocystoma
    • Apocrine hidrocystoma
    • Xanthelasma
  • Such lesions can be treated with:
    • Incision and drainage
    • Surgical excision
    • Topical atropine
    • Electrodessication
    • All of the above

Figure

Figure

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Answers

1: c

2: e

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Discussion

Hidrocystomas are cystic lesions that represent a form of benign sweat gland tumors. Apocrine hidrocystomas are usually solitary lesions that may reach up to 1.5 cm in diameter and have a dark blue to black hue 1.

Eccrine hidrocystomas are either single or multiple and are skin-colored or bluish in appearance. Lesions are usually less than 6 mm in diameter and are more common in females. Unlike their apocrine counterpart, eccrine hidrocystomas may enlarge or increase in number in hot or humid weather 2,3.

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References

1. Alfadley A, Al Aboud K, Tulba A, Mourad MM. Multiple eccrine hidrocystomas of the face. Int J Dermatol 2001; 40:125–129.
2. Peachey RC, Lim CC, Whimster IM. Lymphangiomas of the skin. Br J Dermatol 1970; 83:519–27.
3. Sarabi K, Khachemoune A. Hidrocystomas – a brief review. Med Gen Med 2006; 8:57.
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