Jump to content
In this section we have spot diagnoses posted on a daily basis since June 2010, now over 1700! You can review the archived cases and read the suggested diagnoses by users and the final comment by Dr Uma Sundram, the Editor-in-Chief and main spot diagnosis host. Case are uploaded each week day by 10 a.m. UK time with the correct diagnosis will generally be posted at 8 p.m. UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 1377 - 02 October Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)

F70 Cheek. Clinically solar lentigo, curetted.

Case posted by Dr Richard Carr


  Report Record

User Feedback


Dr. Mona Abdel-Halim

Posted

Superficial actinic porokeratosis. The cornoid lamellae are involving the follicles.

Share this comment


Link to comment
Share on other sites

Guest Romualdo

Posted

Agree with porokeratosis, but I don't know how to classify this localized case. Facial porokeratosis? Follicular porokeratosis? Facial follicular porokeratosis?

Share this comment


Link to comment
Share on other sites

Arti Bakshi

Posted

Agree! The cornoid lamellae are exclusively involving the follicular infundibulum and there is associated dyskeratosis of underlying follicular epithelium.
Wonder if the better term would be Follicular Porokeratosis, described as a distinct variant of porokeratosis. The usual clinical presentation is that of keratotic papules though.
Great case!

Share this comment


Link to comment
Share on other sites

Dr. Richard Carr

Posted

My report:
Follicular porokeratosis with background subtle solar lentigo and inflammatory reaction.

Seems this is a rare variant that may have some clinically distinctive features. Our case was seen by a consultant dermatologist who thought it was a solar lentigo. None of the previous cases had co-existent solar lentigo. Thanks to Dr Ambi Sud for providing the following references.

Pongpudpunth M, Farber J, Mahalingham M. Follicular porokeratosis: distinct clinical entity or histologic variant? [i]J Cutan Pathol[/i]. 2009;36:1195-1199

Zhao M, Sanusi T, Zhao Y, et al. Porokeratosis with follicular involvement: report of three cases and review of literatures. [i]Int J Clin Exp Pathol.[/i] 2015;8(4):4248-4252

Yong AS, Singh M, Goulding JM, et al. Follicular porokeratosis of Mibelli on the buttocks. [i]Clin Exp Dermatol.[/i] 2009;34:43-45

Wang NS, Gruson LM, Kamino H. Facial Follicular Porokeratosis: A Case Report. [i]Am J Dermatopathol[/i]. 2010;32(7);720-722

Share this comment


Link to comment
Share on other sites



Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...

×
×
  • Create New...