Multiple keratoacanthoma centrifugum marginatum: first case report in China

VernacularTitle:多发性边缘离心性角化棘皮瘤一例
Author: Jianguo LI ; Zhenlu LI ; Bo ZHU ; Tingyi SUN ; Guofang WANG
Publication Type:Journal Article
Keywords: Keratoacanthoma; Pathology,clinical; Tretinoin
From: Chinese Journal of Dermatology 2010;43(9):599-601
CountryChina
Language:Chinese
Abstract: A case of multiple keratoacanthoma centrifugum marginatum is first reported in China. A 37-year-old woman was admitted to the hospital for papules and plaques on her face, which had been increasing in number for 4 months. Cutaneous examination revealed dozenes of well-marginated, pale-red or skin-colored crateriform papules of variant size, and plaques in a geographic pattern on her face. The papules presented with a central umbilication filled with grey-brown corneous material. The plaques were surrounded by dyke-like borders, covered with thick, crusted brown corneous material, and partly depressed in the center. Histopathology showed hyperkeratosis, parakeratosis, irregular strip-like extension of epidermis into dermis, keratinous cysts and squamous eddies. The tumor cells had eosinophilic and glassy cytoplasm characteristic of keratoacanthoma.Given both the clinical and histologic evidence, a diagnosis of multiple keratoacanthoma centrifugum marginatum was made. After more than 3 months of treatment with oral acitretin and topical tretinoin, the lesions faded,leaving rugosity scars. No relapse was noted during 3-year follow-up.