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December 1971

Accessory Tragi

Author Affiliations

New York; Washington, DC

From the Dermal Pathology Branch, Armed Forces Institute of Pathology, Washington, DC, and the departments of dermatology and pathology, New York Medical College-Metropolitan Hospital, New York. This work was done in part when Drs. Brown-stein and Wanger were at the Johns Hopkins Medical Institution. Dr. Wanger is now at the University of Tennessee, Memphis.

Arch Dermatol. 1971;104(6):625-631. doi:10.1001/archderm.1971.04000240049006

The clinical and histopathologic features of accessory tragi from 55 patients were analyzed. On both clinical and histologic grounds, accessory tragi were often mistaken for skin tags, fibromas, or papillomas. The lesions were present at birth and appeared as solitary or multiple papules located between the pretragal and sternoclavicular regions. Histologically, there were numerous unevenly spaced telogen follicles that contained vellus hairs. Beneath a relatively narrow zone of fibro-vascular tissue there were usually abundant lobules of fat and a central core of cartilage. Even In lesions without cartilage, an objective histologic diagnosis could be suggested and the condition differentiated from cutaneous papillomas, which contain no epidermal adnexa.

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