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July 1995

Multiple Papules of the Scalp and Forehead

Author Affiliations

Medical College of Wisconsin, Milwaukee

Arch Dermatol. 1995;131(7):838. doi:10.1001/archderm.1995.01690190093020

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

DIAGNOSIS:  Steatocystoma multiplex (facial papular variant).

HISTOPATHOLOGIC FINDINGS  In the upper dermis there was an irregular polylobulated cyst containing a small amount of amorphous material. The