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1</a>&#41;&#46; Nonpolarized light contact dermatoscopy revealed a lesion with telangiectasis&#44; linear vessels &#40;upper region&#41; and peripheral polymorphic vessels on a yellowish-pink background&#44; with a central milky-white spherical area&#44; with no ulceration &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Histopathology</span><p id="par0015" class="elsevierStylePara elsevierViewall">The excisional biopsy showed epidermal invagination with proliferation of papillary elements&#44; which presented a double layer of epithelial cells&#46; The stroma of these papillae revealed an inflammatory infiltrate with abundant plasma cells &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41;&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">&#91;&#91;&#63;&#93;&#93;What is your Diagnosis&#63;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Diagnosis</span><p id="par0025" class="elsevierStylePara elsevierViewall">Syringocystadenoma papilliferum &#40;SCAP&#41;&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Comment</span><p id="par0030" class="elsevierStylePara elsevierViewall">SCAP is a rare benign adnexal tumor derived from the sweat glands&#46; It is present from birth in half of cases and appears during puberty in between 15&#37; and 30&#37; of cases&#46; It may occur de novo in cases of sebaceous nevus&#44; although it may also be associated with many benign and malignant lesions&#44; such as basal cell carcinoma&#44; common warts&#44; and different adnexal tumors&#46; Clinical presentation is variable and nonspecific&#44; and 3 forms are known&#58; nodular&#44; plaque and linear&#46; It generally presents as a solitary papillomatous or verrucous&#44; and sometimes erosive&#44; nodule or plaque of variable size&#44; on the head or neck&#44; but may appear in other locations&#46; It sometimes presents a small fistula with a clear&#44; bloody&#44; foul-smelling exudate&#46; Diagnosis is histologic and characteristic&#44; with numerous cystic invaginations connected to the epidermis and extending into the dermis&#46; They are formed by papillary branches of different sizes&#44; covered by a double-layer epithelium&#44; with cuboidal basal cells and columnar apical cells that may show secretion due to decapitation&#46; A dense inflammatory infiltrate with plasma cells in the stroma is characteristic&#46; The treatment of choice is complete surgical excision&#44; as&#44; although SCAP is benign&#44; cases with metastasis and association with other malignant tumors have been described&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Few dermatoscopic descriptions of this disease exist&#46; Most correspond to SCAP associated with sebaceous nevus&#44; with 14 cases&#44; and only 2 correspond to solitary SCAP&#46; Bruno et al&#46; first published the dermatoscopic findings of SCAP associated with sebaceous nevus&#44; describing a varied vascular pattern &#40;linear&#44; horseshoe-shaped&#44; and glomerular&#41; on a pink-white background&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> In another review of tumors over sebaceous nevus&#44;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> the authors describe 9 SCAP&#44; most of which show a symmetric lesion with exophytic papillary structures&#44; erosions&#44; scabs&#44; ulceration&#44; and different vessels &#40;hairpin&#44; polymorphous and comma-shaped&#41;&#59; in another SCAP&#44; also over sebaceous nevus&#44;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> the authors described a yellowish-white lesion with polymorphous vessels and a peripheral ring with hairpin vessels&#46; Those authors speculate that the vascular structures may be related to manipulation or trauma&#46; Recently&#44; in 3 other lesions&#44; the main findings were pinkish-white exophytic papillary structures and polymorphous vessels&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> In the cases of SCAP without sebaceous nevus&#44; one lesion showed milky-white amorphous spherical structures &#40;corresponding histologically to tumor luminal cells&#41; and peripheral telangiectasia&#44;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> and another showed milky-red papillomatous projections with central ulceration and yellowish areas within the ulcerated areas &#40;secretion sites&#41; and polymorphous vessels&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> It thus appears that the pinkish-white exophytic papillary structures and polymorphous and linear vessels are key to diagnosing SCAP&#44; but is appears that milky-white spherical structures&#44; as in our case&#44; may also be key&#46; The role of dermatoscopy in diagnosing adnexal tumors is not currently well known and histopathology provides the definitive diagnosis&#46;</p></span></span>"
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                      "titulo" => "Dermoscopy of tumours arising in naevus sebaceous&#58; a morphological study of 58 cases"
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                        "paginaFinal" => "2237"
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                        "link" => array:1 [
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Cases for Diagnosis
Long-Standing Solitary Nasal Papule
Pápula solitaria nasal de larga evolución
M. García-Arpaa,
Corresponding author
mgarciaa73@yahoo.es

Corresponding author.
, B. Lozano-Masdemontb, M.Á. Flores-Terrya, M. Delgado Portelac
a Servicio de Dermatología, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
b Servicio de Dermatología, Hospital General Universitario de Móstoles, Móstoles, Madrid, Spain
c Anatomía Patológica, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Medical History</span><p id="par0005" class="elsevierStylePara elsevierViewall">A 47-year-old woman with no past history of interest visited our department with a paranasal papule on the left side of the nose&#44; which had appeared more than 15 years earlier&#46; The lesion had grown in recent months and was itchy&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Physical Examination</span><p id="par0010" class="elsevierStylePara elsevierViewall">Physical examination revealed a papule measuring 4<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>6<span class="elsevierStyleHsp" style=""></span>mm&#44; with a whitish central region and slightly erythematous edges &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Nonpolarized light contact dermatoscopy revealed a lesion with telangiectasis&#44; linear vessels &#40;upper region&#41; and peripheral polymorphic vessels on a yellowish-pink background&#44; with a central milky-white spherical area&#44; with no ulceration &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Histopathology</span><p id="par0015" class="elsevierStylePara elsevierViewall">The excisional biopsy showed epidermal invagination with proliferation of papillary elements&#44; which presented a double layer of epithelial cells&#46; The stroma of these papillae revealed an inflammatory infiltrate with abundant plasma cells &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41;&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">&#91;&#91;&#63;&#93;&#93;What is your Diagnosis&#63;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Diagnosis</span><p id="par0025" class="elsevierStylePara elsevierViewall">Syringocystadenoma papilliferum &#40;SCAP&#41;&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Comment</span><p id="par0030" class="elsevierStylePara elsevierViewall">SCAP is a rare benign adnexal tumor derived from the sweat glands&#46; It is present from birth in half of cases and appears during puberty in between 15&#37; and 30&#37; of cases&#46; It may occur de novo in cases of sebaceous nevus&#44; although it may also be associated with many benign and malignant lesions&#44; such as basal cell carcinoma&#44; common warts&#44; and different adnexal tumors&#46; Clinical presentation is variable and nonspecific&#44; and 3 forms are known&#58; nodular&#44; plaque and linear&#46; It generally presents as a solitary papillomatous or verrucous&#44; and sometimes erosive&#44; nodule or plaque of variable size&#44; on the head or neck&#44; but may appear in other locations&#46; It sometimes presents a small fistula with a clear&#44; bloody&#44; foul-smelling exudate&#46; Diagnosis is histologic and characteristic&#44; with numerous cystic invaginations connected to the epidermis and extending into the dermis&#46; They are formed by papillary branches of different sizes&#44; covered by a double-layer epithelium&#44; with cuboidal basal cells and columnar apical cells that may show secretion due to decapitation&#46; A dense inflammatory infiltrate with plasma cells in the stroma is characteristic&#46; The treatment of choice is complete surgical excision&#44; as&#44; although SCAP is benign&#44; cases with metastasis and association with other malignant tumors have been described&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Few dermatoscopic descriptions of this disease exist&#46; Most correspond to SCAP associated with sebaceous nevus&#44; with 14 cases&#44; and only 2 correspond to solitary SCAP&#46; Bruno et al&#46; first published the dermatoscopic findings of SCAP associated with sebaceous nevus&#44; describing a varied vascular pattern &#40;linear&#44; horseshoe-shaped&#44; and glomerular&#41; on a pink-white background&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> In another review of tumors over sebaceous nevus&#44;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> the authors describe 9 SCAP&#44; most of which show a symmetric lesion with exophytic papillary structures&#44; erosions&#44; scabs&#44; ulceration&#44; and different vessels &#40;hairpin&#44; polymorphous and comma-shaped&#41;&#59; in another SCAP&#44; also over sebaceous nevus&#44;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> the authors described a yellowish-white lesion with polymorphous vessels and a peripheral ring with hairpin vessels&#46; Those authors speculate that the vascular structures may be related to manipulation or trauma&#46; Recently&#44; in 3 other lesions&#44; the main findings were pinkish-white exophytic papillary structures and polymorphous vessels&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> In the cases of SCAP without sebaceous nevus&#44; one lesion showed milky-white amorphous spherical structures &#40;corresponding histologically to tumor luminal cells&#41; and peripheral telangiectasia&#44;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> and another showed milky-red papillomatous projections with central ulceration and yellowish areas within the ulcerated areas &#40;secretion sites&#41; and polymorphous vessels&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> It thus appears that the pinkish-white exophytic papillary structures and polymorphous and linear vessels are key to diagnosing SCAP&#44; but is appears that milky-white spherical structures&#44; as in our case&#44; may also be key&#46; The role of dermatoscopy in diagnosing adnexal tumors is not currently well known and histopathology provides the definitive diagnosis&#46;</p></span></span>"
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Article information
ISSN: 15782190
Original language: English
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2024 October 72 48 120
2024 September 80 22 102
2024 August 98 53 151
2024 July 80 26 106
2024 June 88 45 133
2024 May 78 33 111
2024 April 82 23 105
2024 March 68 22 90
2024 February 64 33 97
2024 January 59 30 89
2023 December 46 19 65
2023 November 73 37 110
2023 October 62 20 82
2023 September 53 28 81
2023 August 51 19 70
2023 July 57 34 91
2023 June 65 19 84
2023 May 75 20 95
2023 April 73 24 97
2023 March 77 24 101
2023 February 68 24 92
2023 January 55 35 90
2022 December 100 43 143
2022 November 75 44 119
2022 October 69 22 91
2022 September 60 36 96
2022 August 50 36 86
2022 July 42 38 80
2022 June 32 24 56
2022 May 61 37 98
2022 April 62 38 100
2022 March 80 45 125
2022 February 97 30 127
2022 January 110 50 160
2021 December 69 47 116
2021 November 60 40 100
2021 October 89 52 141
2021 September 46 42 88
2021 August 50 31 81
2021 July 28 23 51
2021 June 30 22 52
2021 May 38 38 76
2021 April 89 82 171
2021 March 74 28 102
2021 February 49 23 72
2021 January 42 15 57
2020 December 25 24 49
2020 November 31 18 49
2020 October 33 11 44
2020 September 31 14 45
2020 August 47 18 65
2020 July 60 13 73
2020 June 24 15 39
2020 May 34 20 54
2020 April 21 13 34
2020 March 36 10 46
2020 February 8 5 13
2020 January 1 2 3
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Are you a health professional able to prescribe or dispense drugs?