[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.161.175.236. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
July 1988

Blue Papules on the Chest

Author Affiliations

University of Arkansas Medical Center, Little Rock (Dr Haynie), and The Johns Hopkins Medical Institutions (Francis Scott Key Medical Center), Baltimore (Dr Taylor)

Arch Dermatol. 1988;124(7):1106a-1106b. doi:10.1001/archderm.1988.01670070095031
Abstract

REPORT OF A CASE  A 33-year-old woman presented with a two-year history of asymptomatic lesions of the chest. There was no family history of similar lesions.Physical examination revealed multiple, nontender, firm, blue papules on the anterior aspect of the chest (Fig 1). Representative sections of the biopsy specimen are shown in Figs 2 and 3.What is your diagnosis?

DIAGNOSIS:  Eruptive vellus hair cysts.

DISCUSSION  Eruptive vellus hair cysts present clinically as discrete yellow to red-brown to blue papules. Sites of predilection are the anterior aspect of the chest and the extremities, but other areas may also be involved. Although there was no family history of similar lesions in our case, evidence has been reported suggesting a dominant inheritance pattern in some cases.1Histologic examination of the papules shows a middermal cyst containing keratinous material and multiple vellus hairs. The exact cause

First Page Preview View Large
First page PDF preview
First page PDF preview
×