Caso para diagnóstico

Abstract

DISEASE HISTORYTwenty-three year-old man had noticed the emergence of lumps in the neck that had started 5 years before with progressive increase in the number of such lesions in the anterosuperior region of the chest and also in the inguinal region ,some evolving into erythematous lesions with drainage of a yellowish fluid with strong odor. The patient denied systemic symptoms. Background: he also denied similar lesions in relatives. When clinically examined the patient presented papulonodular lesions varying from 0,5 to 2,0 cm, of a yellowish color mainly in the anterosuperior chest, lateral cervical region, (Figure 1) and bilateral inguinal region. Histopathological examination of skin fragment taken from the anterior region of the chest showed presence of cystic formation with sebaceous gland on its wall in the dermis (Figure2) and typical stratified squamous epithelium that showed its stratum corneum wavy shaped, refractile and strongly eosinophilic located in the cystic wall (Figure 3). Laboratory tests without alterations.