REPORT OF A CASE
A 71-year-old woman presented for treatment of a facial filiform wart. At her first visit, it was noted that her superior forehead and frontal scalp was studded with many firm, smooth, round-to-oval, yellow papules varying from 1 to 5 mm (Figure 1). These lesions were asymptomatic and had been present for several years. None of her family had similar lesions. Her history was remarkable for asthma, hypothyroidism, and a cardiac arrhythmia. Her medications included prednisone, theophylline, albuterol and albuterol sulfate, levothyroxine sodium, di- sopyramide phosphate, conjugated estrogens, and medroxyprogesterone acetate.A representative skin biopsy specimen is shown in Figure 2 and Figure 3.What is your diagnosis?Figure 1.Figure 2.Figure 3.Multiple Papules of the Scalp and Forehead
Steatocystoma multiplex (facial papular variant).
In the upper dermis there was an irregular polylobulated cyst containing a small amount of amorphous material. The
Hansen KK, Troy JL, Fairley JA. Multiple Papules of the Scalp and Forehead. Arch Dermatol. 1995;131(7):838. doi:10.1001/archderm.1995.01690190093020