Multiple flesh colored papules on face and trunk

Presenter: Sarah Croft DO, Jill Salyards DO, Brandon Shutty DO

Dermatology Program: Nova Southeastern University/Largo Medical Center

Program Director: Richard Miller, DO

Submitted on: June 6, 2014

CHIEF COMPLAINT: multiple pruritic “bumps” on his back

CLINICAL HISTORY: A 52-year-old Caucasian male presents for an initial evaluation with multiple pruritic “bumps” on his back that seem to be increasing in number over 2 years time as well as new lesions on the cheeks that he cuts while shaving. Topical emollients do not relieve symptoms.

Other information: Dermatologic history: actinic keratoses and non-melanoma skin cancer
Medical history: traumatic brain injury after MVA, seizure disorder, depression, bipolar disorder, asthma
Family history: the mother with throat cancer, the father with colon cancer
Social history: less than 1 pack per day smoker

PHYSICAL EXAM:
Multiple flesh-colored, well-circumscribed, umbilicated papules scattered on the back, abdomen, chest, and face.

LABORATORY TESTS: N/A

DERMATOHISTOPATHOLOGY:

Shave biopsy demonstrated a proliferation of sebaceous epithelium emanating from the epidermis. Mature sebaceous cells outnumber peripherally located germinative cells.