Indian Journal of Dermatology
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Year : 2014  |  Volume : 59  |  Issue : 2  |  Page : 211
Asymptomatic papules in a segmental pattern over the back


Department of Dermatology, STD and Leprosy, Dr. Ram Manohar Lohia Hospital and PGIMER, New Delhi, India

Date of Web Publication21-Feb-2014

Correspondence Address:
Lipy Gupta
Department of Dermatology, STD and Leprosy, Dr. Ram Manohar Lohia Hospital and PGIMER, New Delhi - 110 001
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5154.127700

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How to cite this article:
Gupta L, Gautam RK, Bharadwaj M. Asymptomatic papules in a segmental pattern over the back. Indian J Dermatol 2014;59:211

How to cite this URL:
Gupta L, Gautam RK, Bharadwaj M. Asymptomatic papules in a segmental pattern over the back. Indian J Dermatol [serial online] 2014 [cited 2019 Dec 11];59:211. Available from: http://www.e-ijd.org/text.asp?2014/59/2/211/127700


A 12-year-old boy presented with multiple skin-colored to yellowish papules over the right lower back in a segmental pattern. Biopsy revealed mature adipocytes in the dermis. A diagnosis of nevus lipomatosus cutaneous superficialis was made.

Asymptomatic papules in a segmental pattern over the back


A 13-year-old boy presented with multiple asymptomatic raised papules over the right side of the lower back, which gradually increased in size for the last 5 years. Cutaneous examination revealed multiple skin-colored to yellowish, discrete, and coalescent papules varying in size from 0.5 cm to 2 cm in a segmental pattern. The lesions were soft, non-tender and did not cross the midline [Figure 1]. Systemic examination revealed no abnormalities. Routine hematological and biochemical investigations were normal. Skin biopsy from the papule revealed normal epidermis with islands of adipocytes among the collagen bundles and in the papillary and reticular dermis [Figure 2].
Figure 1: Multiple skin colored to yellowish papules and coalescent plaques in a segmental pattern over the right back

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Figure 2: Multiple mature adipocytes among the collagen bundles and in the papillary and reticular dermis (H and E, ×200)

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   References Top

1.Hoffmann E, Zurhelle E. Über einen naevus lipomatodes cutaneus superficialis der linken glutaalgegend. Arch Dermatol Syphilol 1921;130:327-3.  Back to cited text no. 1
    
2.Umashankar T, Prasad T, Rajeshwari SH. Naevus lipomatosus superficialis: Clinicopathologic study of a case. Indian J Pathol Microbiol 2003;46:444-5.  Back to cited text no. 2
    
3.Reymond JL, Stoebner P, Amblard P. Nevus lipomatosus cutaneous superficialis. An electron microscopic study of four cases. J Cutan Pathol 1980;7:295-301.  Back to cited text no. 3
    
4.Al-Mutairi N, Joshi A, Nour-Eldin O. Naevus lipomatosus cutaneous superficialis of Hoffmann-Zurhelle with angiokeratoma of fordyce. Acta Dermatol Venereol 2006;86:92-3.  Back to cited text no. 4
    
5.Chougule A, Kumari R, Thappa DM. Giant nevus lipomatosus cutaneous superficialis of the thigh. Indian J Dermatol 2007;52:120-1.  Back to cited text no. 5
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