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January 1977

Tricholemmoma Clinical Lesions

Author Affiliations


Arch Dermatol. 1977;113(1):107-108. doi:10.1001/archderm.1977.01640010109019

To the Editor.—  Tricholemmoma is described only occasionally in the clinical dermatologic literature. Casual mention is made of the lesions of tricholemmoma as looking like basal cell malignancy.1 As a matter of fact, usually, they look like anything but a basal cell malignancy. From the characteristic microscopic picture of tricholemmoma, one would understand how these small papular lesions of the face should appear clinically.The characteristic clinical features were observed in five patients. In this small group, all were elderly, and four of the five were women. The lesions most often appear about the lips; next in frequency, on the chin. They are small, whitish or pinkish papules, varying in size from micropapules, milium-like, visible under the skin microscope, to the largest being 1.5 mm. The average papule was less than 1 mm in diameter. Most were approximately 1 mm in height. The lesions were usually multiple; the only

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