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Image Number #2953 (Epidermoid cysts)

Diagnosis: Epidermoid cysts

Description: Multiple yellow cystic nodules.

Morphology: Nodule,yellow

Site: Forehead

Sex: F

Age: 38

Type: Clinical

Submitted By: Nameer Al-Sudany

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Differential Diagnosis
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History: Numerous asymptomatic small yellowish cystic nodules affecting both cheeks and forehead of many years duration. The reason behind dermatologic consultation was cosmetic bothering caused to the patient by the unsightly appearance of the lesions.Some of the lesions especially on the forehead had a bluish tint so resembling black head comedones. One cyst was opened and a thick keratinous material with a bad odor has seeped out. The main differential diagnosis was steatocystoma multiplex which is a hereditary condition that usually favors the axillae, sternal area and the arms. In addition, it usually contains an oily odorless material.

DermNetNZ   eMedicine   PubMed   Dermatology Online   Archives   JAAD for "Epidermoid cysts"

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