PMC8149987_01
(A) Multiple translucent skin-colored cystic papules in centrofacial distribution (Clinical images taken by iPhone 6s, 12 megapixel camera). (B) Unilocular cyst lined by two layers of flattened cuboidal epithelium without any evidence of decapitation in lining cells (hematoxylin and eosin, x100 magnification). (C) Nonpolarized dermoscopic image (x170 magnification) showed whitish clod without crater (yellow arrow) with multiple telangiectasias (white arrow). (D) Dermoscopy in polarized mode (x170 magnification) reveals yellowish globules (blue arrow) with multiple telangiectasias (white arrow)
JCAS-14-118-g001.jpg
PMC8149987_01_JCAS-14-118-g001.jpg
F1
A 44-year-old woman presented with multiple asymptomatic translucent skin-colored papules present over the nasal bridge, infraorbital region, and few over upper eyelid varying in size from 2-6 mm [Figure 1A]. Skin biopsy from most represented lesion revealed unilocular cyst lined by two layers of flattened cuboidal epithelium due to retention of sweat secondary to eccrine duct obstruction, without any evidence of decapitation in lining cells [Figure 1B]. Dermoscopy (performed by AM7013MZTS (4S) Dino-Lite Premier; AnMo, Taipei, Taiwan) showed whitish clod without crater along with multiple telangiectasias on nonpolarized mode [Figure 1C] and yellowish globules with multiple telangiectasias on polarized mode [Figure 1D].
PMC8149987_02
(A) Multiple translucent skin-colored, bluish cystic lesions in periorbital distribution, cheeks, and zygomatic region. (B) Unilocular cyst lined by two layers of flattened cuboidal epithelium without any evidence of decapitation in lining cells (hematoxylin and eosin, x40 magnification). (C) Whitish clod (yellow arrow) without crater seen on dermoscopy (nonpolarized mode, x170 magnification). (D) Yellowish globules (blue arrow) with multiple telangiectasias (white arrow) seen on dermoscopy (polarized mode, x170 magnification)
JCAS-14-118-g002.jpg
PMC8149987_02_JCAS-14-118-g002.jpg
F2
A 58-year-old woman presented with translucent to skin-colored papular lesion over periorbital region, with a few lesions in zygomatic area and cheek, varying in size from 1-5 mm for the last 6 years [Figure 2A]. Skin biopsy from most represented lesion revealed unilocular cyst lined by two layers of flattened cuboidal epithelium without any evidence of decapitation in lining cells [Figure 2B]. Dermoscopy showed whitish clod without crater on nonpolarized mode [Figure 2C] and yellowish globules with multiple telangiectasias in polarized mode [Figure 2D].