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Year : 2008  |  Volume : 74  |  Issue : 5  |  Page : 541-542

A painless punctured papule

Consultant Dermatologist, Vadodara, Gujrat, India

Correspondence Address:
Shyam Verma
18, Amee Society, Vadodara
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0378-6323.44336

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How to cite this article:
Verma S. A painless punctured papule. Indian J Dermatol Venereol Leprol 2008;74:541-2

How to cite this URL:
Verma S. A painless punctured papule. Indian J Dermatol Venereol Leprol [serial online] 2008 [cited 2020 Dec 1];74:541-2. Available from:

A 73-year-old building contractor presented to this clinic with a bleeding lesion on the face. The lesion was present since 8 months and there were 3 episodes of scanty bleeding in the past. On examination there was a skin-colored firm, non-tender, freely movable, and well-defined papule inferior to the lateral canthus of the left eye [Figure 1]. It had visibly undergone a puncture and looked as if it had been physically scooped out. Pressure did not express any fluid or solid material from it. There was no similar lesion elsewhere on the body. No regional nodes were palpable.

Findings from an excisional biopsy are show in [Figure 2] and [Figure 3].

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1.McKie RM, Calonje E. Tumors of the skin appendages. In: Burns, T, Breathnach S, Cox N, Griffiths C, editors. Rook's textbook of dermatology. 7 th ed. Vol 2. Oxford: Blackwell Science; 2004. p. 37.24.   Back to cited text no. 1    
2.James W, Berger T, Elston D, editors, Andrews' diseases of the skin clinical dermatology. 10 th ed. Philadelphia: WB Saunders; 2006. p. 666.  Back to cited text no. 2    
3.Altinyazar HC, Kargi E, Ozen O, Koca R, Babucηu O. Multiple eccrine spiradenoma in zosteriform distribution. Plast Reconstr Surg 2003;112:927-8.  Back to cited text no. 3    
4.Gupta S, Jain VK, Singh U, Gupta S. Multiple eccrine spiradenomas in zosteriform distribution in a child. Pediatr Dermatol 2000;17:384-6.  Back to cited text no. 4  [PUBMED]  [FULLTEXT]
5.Brenn T, McKee P. In Tumors of the Sweat Gland. In: Mckee P, Calonje E, Granter S, editors. Pathology of the skin. Vol 2. Elsevier; p. 1642.  Back to cited text no. 5    
6.Ter Poorten MC, Barrett K, Cook J. Familial eccrine spiradenoma: A case report and review of literature. Dermatol Surg 2003;29:411-4.  Back to cited text no. 6  [PUBMED]  [FULLTEXT]
7.Ishikawa M, Nakanishi Y, Yamazaki N, Yamamoto A. Malignant eccrine spiradenoma: A case report and review of the literature. Dermatol Surg 2001;27:67-70.  Back to cited text no. 7  [PUBMED]  [FULLTEXT]
8.Fernαndez-Aceρero MJ, Manzarbeitia F, Mestre de Juan MJ, Requena L. Malignant spiradenoma: Report of two cases and literature review. J Am Acad Dermatol 2001;44:395-8.  Back to cited text no. 8    


  [Figure 1], [Figure 2], [Figure 3]


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