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May 2012

Translucent Nasal Papules in a 3-Year-Old Boy—Diagnosis

Author Affiliations
 

SECTION EDITOR: MARY S. STONE, MD; ASSISTANT SECTION EDITORS: SOON BAHRAMI, MD; CARRIE ANN R. CUSACK, MD;c SENAIT W. DYSON, MD; MOLLY A. HINSHAW, MD; ARNI K. KRISTJANSSON, MD

Arch Dermatol. 2012;148(5):641-646. doi:10.1001/archderm.148.5.642-c

Histologic examination of the excised papule showed a unilocular cyst ( Figure 3) in the mid dermis. The cyst wall was composed of 2 layers of cuboidal and flattened epithelial cells. Neither decapitation secretion nor periodic acid–Schiff positive granules were detectable. These findings led to the diagnosis of eccrine hidrocystoma. The patient was prescribed topical atropine sulfate, 1%, once daily; however, he failed to show any improvement over a treatment course of 4 months. Because the skin lesions are asymptomatic, further treatment is currently being withheld.

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