Juxta-clavicular Beaded Lines

Juxta‐Clavicular Beaded Lines in a Kidney Transplant Patient Receiving Immunosuppressants

“…In 1974, Butterworth and Johnson (3) first described “juxta‐clavicular beaded lines” (JCBL) as characterized by tiny papules arranged in closely placed parallel rows, resembling “strands of beads”, and located bilaterally over the neck and clavicular area. The beaded lines appear as inconspicuous lines in the skin above, overlying and below the clavicles (3). They are composed of skin‐colored or yellowish, globoid papules varying from 0.5 to 1.5 mm in size (3).…”

“…JCBL usually arises at puberty as asymptomatic linear papules (1,2). It appears to be more common in blacks and females (1‐3). Microscopically, a moderate to large sebaceous gland lobule in the subepidermal area is associated with a small or vellus hair (1‐3).…”

“…It appears to be more common in blacks and females (1‐3). Microscopically, a moderate to large sebaceous gland lobule in the subepidermal area is associated with a small or vellus hair (1‐3). Although Butterworth and Johnson (3) regarded JCBL as an anatomic variant rather than a disease process, this is not clear because it has received little attention in the literature.…”

Sebaceous lesions and their associated syndromes: Part I

“…31 The juxtaclavicular beaded line variant was first described in 1974. 58 It appears as a linear strand of typical appearing SH papules, many with central fine hairs. 59 They are usually aligned along the relaxed skin tension lines from the shoulder to the sternum, following the line of the clavicle.…”

“…59 They are usually aligned along the relaxed skin tension lines from the shoulder to the sternum, following the line of the clavicle. 44,46,58,59 The juxtaclavicular beaded line variant occurs most frequently in the second to fifth decades of life and appears more commonly among African Americans and possibly women. 44,46,58 Senile SH, the most common variant, is generally clinically recognizable by its yellow color, domeshaped morphology, and ductal opening.…”