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FitzGerald HA, Mei A, Kim J, Ardakani NM, Foster RS. Hypopigmented papules in a toddler. Pediatr Dermatol 2024; 41:528-530. [PMID: 38342573 DOI: 10.1111/pde.15532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Accepted: 12/30/2023] [Indexed: 02/13/2024]
Affiliation(s)
| | - Angela Mei
- Department of Dermatology, Sir Charles Gairdner Hospital, Perth, Australia
| | | | - Nima Mesbah Ardakani
- Department of Anatomical Pathology, PathWest Laboratory Medicine, QEII Medical Centre, Perth, Australia
| | - Rachael S Foster
- Department of Dermatology, Perth Children's Hospital, Nedlands, Australia
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2
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Garbanzos CCT, Sowash MG, Cardis MA, Kirkorian AY. Hypopigmented macules on the suprapubis and axillae. JAAD Case Rep 2024; 46:105-107. [PMID: 38617890 PMCID: PMC11014868 DOI: 10.1016/j.jdcr.2024.01.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/16/2024] Open
Affiliation(s)
- Clint Christian T. Garbanzos
- Department of Pathology and Laboratory Medicine, MedStar/Georgetown University Hospital, Washington, District of Columbia
| | - Madeleine G. Sowash
- Department of Dermatology, Washington Hospital Center, Washington, District of Columbia
| | - Michael A. Cardis
- Department of Dermatology, Washington Hospital Center, Washington, District of Columbia
| | - A. Yasmine Kirkorian
- Division of Dermatology, Children’s National Hospital, Washington, District of Columbia
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3
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Nuraihan S, Gan EY. Hypopigmented Macules in 3 Siblings. J Pediatr 2023:S0022-3476(23)00041-0. [PMID: 36702202 DOI: 10.1016/j.jpeds.2023.01.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Revised: 11/15/2022] [Accepted: 01/19/2023] [Indexed: 01/24/2023]
Affiliation(s)
- Siti Nuraihan
- Department of Dermatology, KK Women's and Children's Hospital, Singapore
| | - Emily Yiping Gan
- Department of Dermatology, KK Women's and Children's Hospital, Singapore
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4
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Clear Cell Proliferations of the Skin: A Histopathologic Review. Am J Dermatopathol 2021; 43:607-636. [PMID: 34411018 DOI: 10.1097/dad.0000000000001881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
ABSTRACT Cutaneous clear cell proliferations encompass a heterogenous group of several primary cutaneous neoplasms and metastatic tumors with different histogenesis. Many of these clear cell proliferations may seem strikingly similar under the microscope resulting in challenging diagnosis. In many of these clear cell lesions, the reason for the clear or pale appearance of proliferating cells is unknown, whereas in other ones, this clear cell appearance is due to intracytoplasmic accumulation of glycogen, mucin, or lipid. Artifacts of tissue processing and degenerative phenomenon may also be responsible for the clear cell appearance of proliferating cells. Awareness of the histopathologic findings as well as histochemical and immunohistochemical techniques are crucial to the accurate diagnosis. This review details the histopathologic features of clear cell cutaneous proliferations, classifying them according their type of differentiation and paying special attention to the histopathologic differential diagnosis among them.
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5
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Hypopigmented Papules in a Healthy Girl. ACTAS DERMO-SIFILIOGRAFICAS 2019. [DOI: 10.1016/j.adengl.2019.07.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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6
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Dorfman CO, Quinn K, McGonagle M, Schwarz E. Clear cell papulosis: A case report of a rare entity. Pediatr Dermatol 2019; 36:718-719. [PMID: 31529637 DOI: 10.1111/pde.13945] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
| | - Kelly Quinn
- Lehigh Valley Health Network, Allentown, Pennsylvania
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Leerunyakul K, Kanokrungsee S, Rutnin S. Clear cell papulosis: Dermatoscopic findings and literature review. Pediatr Dermatol 2019; 36:655-657. [PMID: 31190354 DOI: 10.1111/pde.13860] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Clear cell papulosis is a rare skin condition that predominantly develops in patients of Asian background during their early childhood. We present a new case of clear cell papulosis of a 1-year-old Thai girl presented with multiple hypopigmented macules and papules on the lower abdomen and pubic area for 3 months and also review the previous 41 cases published in the literature since 1987. Herein, for the first time, we report the dermatoscopic features of clear cell papulosis that represents as depigmented homogenous structureless lesions. This would be beneficial for distinguishing clear cell papulosis from its differential diagnoses.
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Hypopigmented Papules in a Healthy Girl. ACTAS DERMO-SIFILIOGRAFICAS 2019; 110:767-768. [PMID: 31256799 DOI: 10.1016/j.ad.2018.05.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2018] [Revised: 04/13/2018] [Accepted: 05/01/2018] [Indexed: 11/24/2022] Open
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9
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Clear Cell Papulosis: A Case Series. ACTAS DERMO-SIFILIOGRAFICAS 2019. [DOI: 10.1016/j.adengl.2019.04.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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10
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Choi MW, Lee JH, Han TY. A Child With Multiple Hypopigmented Macules on the Abdomen. JAMA Dermatol 2019; 155:111-112. [PMID: 30167639 DOI: 10.1001/jamadermatol.2018.2362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Min Wha Choi
- Department of Dermatology, Nowon Eulji Medical Center, Eulji University, Seoul, Korea
| | - June Hyunkyung Lee
- Department of Dermatology, Nowon Eulji Medical Center, Eulji University, Seoul, Korea
| | - Tae Young Han
- Department of Dermatology, Nowon Eulji Medical Center, Eulji University, Seoul, Korea
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11
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Clear Cell Papulosis: A Case Series. ACTAS DERMO-SIFILIOGRAFICAS 2018; 110:402-405. [PMID: 30594285 DOI: 10.1016/j.ad.2018.03.028] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2017] [Revised: 12/27/2017] [Accepted: 03/31/2018] [Indexed: 11/23/2022] Open
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12
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Castro L, Dhossche J, Leitenberger S. Hypopigmented papules in a 16-month-old Arabic girl. Pediatr Dermatol 2018; 35:843-844. [PMID: 30397950 DOI: 10.1111/pde.13604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Laura Castro
- School of Medicine, Oregon Health and Science University, Portland, Oregon
| | - Julie Dhossche
- Department of Dermatology, School of Medicine, Oregon Health and Science University, Portland, Oregon
| | - Sabra Leitenberger
- Department of Dermatology, School of Medicine, Oregon Health and Science University, Portland, Oregon
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Clear Cell Papulosis: A Rare Pediatric Dermatosis. Case Rep Pediatr 2018; 2018:3908505. [PMID: 30159191 PMCID: PMC6109497 DOI: 10.1155/2018/3908505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2018] [Revised: 07/01/2018] [Accepted: 07/17/2018] [Indexed: 11/17/2022] Open
Abstract
The diagnosis and management of pediatric hypopigmented lesions can be challenging given their wide range of differentials. In this case report, we present a case of a 3-year-old Chinese boy who was initially treated for tinea versicolor but subsequently diagnosed to have clear cell papulosis. The features, diagnosis, and management of clear cell papulosis are discussed in this article to raise awareness of this condition amongst pediatricians.
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Clear Cell Papulosis: Report of a Case With Unique Clinical and Histologic Findings. Am J Dermatopathol 2016; 38:924-926. [PMID: 27875365 DOI: 10.1097/dad.0000000000000595] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Clear cell papulosis is a rare, self-limited, benign disease of early childhood, characterized by white macules and flat papules over the milk line. Histopathologically, it is characterized by scattered clear cells throughout the basal and/or suprabasal epidermal layers, which-as clear cells of Toker of the nipple do-typically express cytokeratin 7. They also exhibit other markers expected for adenoid differentiation, such as low-molecular weight cytokeratins, carcinoembryonic antigen, epithelial membrane antigen, and mucin. The age of onset, distribution of lesions, histopathology, and its benign behavior nature help to exclude clinically similar conditions, either benign or malignant. The authors report a case of clear cell papulosis in a 7-year-old Brazilian girl in whom lesions were observed on the legs and histologically formed by solid and adenoid aggregates of clear cells, in a similar fashion than clear fetal cells of Toker.
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Kim SW, Roh J, Park CS. Clear Cell Papulosis: A Case Report. J Pathol Transl Med 2016; 50:401-3. [PMID: 27237133 PMCID: PMC5042892 DOI: 10.4132/jptm.2016.02.16] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2015] [Revised: 02/02/2016] [Accepted: 02/16/2016] [Indexed: 12/03/2022] Open
Affiliation(s)
- So-Woon Kim
- Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Jin Roh
- Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Chan-Sik Park
- Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
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Moulinas C, Dollfus H, Lipsker D. [Leucoderma in children: Review of the literature]. Ann Dermatol Venereol 2015; 142:399-409. [PMID: 25952794 DOI: 10.1016/j.annder.2015.01.028] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2014] [Revised: 11/25/2014] [Accepted: 01/06/2015] [Indexed: 11/28/2022]
Abstract
BACKGROUND Leucoderma is a frequent presenting complaint in children and it is sometimes difficult to make a definite diagnostic during the first consultation. The aim of this study is to analyse the diagnoses associated with leucoderma in children in order to propose a practical approach to their differential diagnosis. MATERIAL AND METHODS We performed a review of the literature using the keywords "leucoderma children review", "leucoderma Ito" and "nevus depigmentosus" in the Medline database. All relevant articles were included. RESULTS Four hundred and thirty-five articles were retrieved and 179 were analysed. A clinical approach was proposed in 6 articles and investigations in 15 articles. DISCUSSION Causal diagnosis of leucoderma may frequently be made on clinical grounds by determining the age of onset and distribution of lesions. Nevertheless, some situations require investigation. The literature is limited regarding clinical approaches and examinations in leucoderma. Herein, we present a systematic clinical and laboratory approach to the differential diagnosis of these skin disorders.
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Affiliation(s)
- C Moulinas
- Clinique dermatologique de Strasbourg, hôpitaux universitaires de Strasbourg, 1, place de l'Hôpital, 67091 Strasbourg cedex, France
| | - H Dollfus
- Service de génétique médicale, hôpitaux universitaires de Strasbourg, 1, place de l'Hôpital, 67091 Strasbourg cedex, France
| | - D Lipsker
- Clinique dermatologique de Strasbourg, hôpitaux universitaires de Strasbourg, 1, place de l'Hôpital, 67091 Strasbourg cedex, France.
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Kieliszak CR, Pollinger TH, Tollefson MM, Griffin JR. Umbilical and periumbilical dermatoses. J Am Acad Dermatol 2015; 72:1066-73. [PMID: 25840731 DOI: 10.1016/j.jaad.2015.02.1100] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2014] [Revised: 02/05/2015] [Accepted: 02/11/2015] [Indexed: 11/26/2022]
Abstract
The umbilicus may be the site of congenital and acquired malformations and may harbor clinical clues to the diagnosis of potentially fatal inherited disorders, primary skin conditions, and a variety of infectious diseases. Both benign and malignant tumors may involve the umbilicus, and some are unique to this site. Finally, cutaneous signs localized to this anatomic location may be found in diverse systemic diseases.
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Affiliation(s)
- Christopher R Kieliszak
- Division of Otolaryngology, Head and Neck Surgery, George Washington University, Washington, DC
| | - Tess H Pollinger
- Department of Dermatology, Walter Reed National Military Medical Center, Bethesda, Maryland
| | - Megha M Tollefson
- Department of Dermatology, Mayo Clinic, Rochester, Minnesota; Department of Pediatrics, Mayo Clinic, Rochester, Minnesota
| | - John R Griffin
- Division of Dermatology, Baylor University Medical Center, Dallas, Texas; Department of Internal Medicine, Texas A&M University Health Science Center, Dallas, Texas; Department of Pathology and Laboratory Medicine, Texas A&M University Health Science Center, Dallas, Texas.
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Pau-Charles I, Vicente A, Jou C, González-Enseñat MA. Acquired hypopigmented suprapubic macules. Clin Exp Dermatol 2014; 39:655-7. [PMID: 24758414 DOI: 10.1111/ced.12319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/01/2013] [Indexed: 11/27/2022]
Affiliation(s)
- I Pau-Charles
- Department of Dermatology, Hospital Sant Joan de Déu, Universitat de Barcelona, Esplugues de Llobregat, Barcelona, Spain
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Amin A, Griffith RC, Chaux A. Penile intraepithelial neoplasia with pagetoid features: report of an unusual variant mimicking Paget disease. Hum Pathol 2014; 45:889-92. [DOI: 10.1016/j.humpath.2013.11.010] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2013] [Revised: 10/21/2013] [Accepted: 11/04/2013] [Indexed: 11/16/2022]
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20
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Pediatric Dermatology Clinical-Pathologic Case “Mimickers”. CURRENT DERMATOLOGY REPORTS 2013. [DOI: 10.1007/s13671-013-0055-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Wysong A, Sundram U, Benjamin L. Clear-cell papulosis: a rare entity that may be misconstrued pathologically as normal skin. Pediatr Dermatol 2012; 29:195-8. [PMID: 22142549 DOI: 10.1111/j.1525-1470.2011.01614.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
We describe a case of multiple, discrete, hypopigmented macules in the suprapubic and axillary region in a healthy 3-year-old girl. The lesions first appeared at approximately 9 months of age and increased in number over time. Initial histopathologic examination by an outside dermatopathologist at 1 year of age was reported as showing nonspecific histologic changes. A repeat biopsy at 3 years of age showed large intraepidermal clear cells that expressed CKAE1/CAM5.2, CK7, and BRST2. These findings are diagnostic for clear-cell papulosis, a rare condition that primarily affects children. Without great clinical and pathologic suspicion, this is a diagnosis that can often be overlooked because the histologic findings are virtually identical to those of normal skin.
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Affiliation(s)
- Ashley Wysong
- Department of Dermatology, School of Medicine, Stanford University, Stanford, California 94305, USA
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