Indian Journal of Dermatology
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E-IJD QUIZ
Year : 2015  |  Volume : 60  |  Issue : 2  |  Page : 218
Solitary plaque with recurrent blistering on the finger of a child


From the Department of Dermatology, Rabindra Nath Tagore Medical College, Udaipur, Rajasthan, India

Date of Web Publication3-Mar-2015

Correspondence Address:
Dr. Ashok Kumar Khare
4 and 5, Mayur Van Colony, Near Manariya Guest House, Hiran Magri, Udaipur - 313 002, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5154.152603

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How to cite this article:
Saini P, Khare AK, Gupta LK, Mittal A, Mehta S. Solitary plaque with recurrent blistering on the finger of a child. Indian J Dermatol 2015;60:218

How to cite this URL:
Saini P, Khare AK, Gupta LK, Mittal A, Mehta S. Solitary plaque with recurrent blistering on the finger of a child. Indian J Dermatol [serial online] 2015 [cited 2020 Mar 30];60:218. Available from: http://www.e-ijd.org/text.asp?2015/60/2/218/152603


A 9-month-old baby girl presented with solitary 1 × 0.5 cm, well-defined, yellowish, waxy, nonscaly plaque on dorsum of right ring finger [Figure 1]. Parents stated that the lesion started at the age of 2 months as a clear vesicle which healed spontaneously within a week. It was followed by appearance of a gradually progressive skin colored plaque at the same site. There was history of recurrent vesiculation within the plaque whenever the child rubbed the lesion. She was apparently in good general health. Systemic examination was unremarkable. Biopsy from the lesion revealed dense upper and middermal infiltrate of uniformly looking cells with rounded central nuclei and abundant amphophilic cytoplasm [Figure 2] and [Figure 3].
Figure 1: Solitary, well defined, yellowish, waxy, non scaly plaque on finger

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Figure 2: Histology showing dense upper and mid dermal infiltrate of uniformly looking cells with rounded central nuclei and abundant amphophilic cytoplasm (H and E ×40)

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Figure 3: A higher magnification showing abundant uniformly looking cells (H and E ×100)

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What is your diagnosis?



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   References Top

1.
Grattan CE, Kojba BA. Urticaria and mastocytosis. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook's Textbook of Dermatology. 8 th ed. Oxford: Blackwell publishing; 2010. p. 22.30-6.  Back to cited text no. 1
    
2.
Gysel VD, Schaik RH, Oranje AP. Mastocytosis. In: Irvine AD, Hoeger PH, Yan AC, editors. Harper's Textbook of Pediatric Dermatology. 3 rd ed. Oxford: Wiley-Blackwell; 2011. p. 1-15.75.  Back to cited text no. 2
    
3.
Soter NA. Mastocytosis and the skin. Hematol Oncol Clin North Am 2000;14:537-55.  Back to cited text no. 3
    
4.
Kanwar AJ, Sandhu K. Cutaneous mastocytosis in children: An Indian experience. Pediatr Dermatol 2005;22:85-9.  Back to cited text no. 4
    
5.
Cutaneous tumors and tumor syndromes. In: Paller AS, Mancini AJ, editors. Hurwitz Clinical Pediatric Dermatology. 3 rd ed. Philadelphia: Elsevier Inc; 2006. p. 9.225 -9.  Back to cited text no. 5
    
6.
Nayak S, Acharjya B, Devi B, Behera SK. Bullous mastocytosis. Indian J Dermatol 2007;52:201-3.  Back to cited text no. 6
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Naysan J, Kodsi SR, Kristal L. Solitary mastocytoma of the eyelid. J AAPOS 2013;17:443-4.  Back to cited text no. 7
    
8.
Abdullah L, Abbas O. Dermacase: Can you identify this condition? Solitary mastocytoma. Can Fam Physician 2012;58:766,770.  Back to cited text no. 8
    


    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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