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Article
November 1991

Multiple Blue Papules

Author Affiliations

Duke University Medical Center, Durham, NC

Arch Dermatol. 1991;127(11):1721-1722. doi:10.1001/archderm.1991.01680100121019
Abstract

REPORT OF A CASE  Over the past 20 years, a 75-year-old white man noted gradually progressive blue-to-black papules scattered over his cheeks, nipples, and upper chest.The number of papules increased and darkened but otherwise remained asymptomatic. Of interest, his father had similar lesions located in the same areas.Findings from the physical examination revealed multiple 1- to 4-mm nonblanchable blue-to-black papules over both cheeks, the nipples, and the upper chest. Telangiectasia was noted sporadically (Fig 1).A biopsy specimen was obtained from the upper chest and was stained with hematoxylin-eosin (Fig 2).What is your diagnosis?

DIAGNOSIS:  Hereditary glomangiomas.

HISTOPATHOLOGIC FINDINGS  The biopsy specimen of the papillary dermis revealed large, irregularly shaped vascular spaces. The vascular spaces were lined by a single layer of flat endothelial cells. The glomus cells were peripheral to the endothelial cells.

DISCUSSION  Glomus tumors are either solitary or multiple.1-3 The solitary form is more common.

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