Glabellar pomade crust mimicking dyskeratosis follicularis.
A 79-year-old female patient presented with a slowly developing crusting, itching verrucous lesion of the forehead of 3 months' duration. She had no personal or family history of skin disease. On examination she presented with a hyperpigmented plaque of the glabellar region that resembled dyskeratosis follicularis Darier. A detailed medical history was taken and a skin biopsy was performed. Epidermal acanthosis and enlargement of follicle ostia with foreign material were found. The patient reported use of an ointment twice daily. She had a single cosmetic treatment where powder of unspecified composition had been used. The diagnosis of pomade crust was confirmed. Follicular material was enucleated mechanically and the area was treated with a metronidazole cream. The lesions completely disappeared.
Wollina
Uwe
U
Hospital Dresden-Friedrichstadt, Dresden, Germany. wollina-uw@khdf.de
Hansel
Gesina
G
Köstler
Erich
E
Schönlebe
Jaqueline
J
D000368:Aged; D007644:Darier Disease / Q000175:diagnosis*; D003879:Dermatologic Agents / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D006201:Hair Diseases / Q000139:chemically induced* / Q000188:drug therapy; D018859:Hair Follicle / Q000187:drug effects / Q000473:pathology*; D006801:Humans; D007642:Keratosis / Q000139:chemically induced* / Q000473:pathology* / Q000601:surgery; D008795:Metronidazole / Q000627:therapeutic use; D011838:Radiation-Sensitizing Agents / Q000627:therapeutic use; D012871:Skin Diseases / Q000175:diagnosis*
D003879:Dermatologic Agents; D011838:Radiation-Sensitizing Agents; D008795:Metronidazole