Document Detail


Multiple inverted follicular keratoses as a presenting sign of Cowden's syndrome: case report with human papillomavirus studies.
MedLine Citation:
PMID:  15337985     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Inverted follicular keratosis is characterized by a squamous epithelial expansion of the infundibular portion of the hair follicle in an exophytic and endophytic pattern. The lesion is often associated with squamous eddies similar to an irritated keratosis and may have a superficial papillomatous architecture. The lesion most often arises as a solitary nodule on the face of middle age to elderly individuals. Inverted follicular keratosis has been described as a distinct entity by some while others believe that it is related to trichilemmomas and/or verruca vulgares. The cutaneous pathology of Cowden's syndrome is characterized by multiple trichilemmomas. We present a woman who fulfills the clinical criteria for Cowden's syndrome and who initially presented with multiple inverted follicular keratoses. Also, in situ hybridization studies performed on the patient's keratoses do not reveal evidence of human papillomavirus infection.
Authors:
Steven M Ruhoy; Doug Thomas; Gerard J Nuovo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the American Academy of Dermatology     Volume:  51     ISSN:  1097-6787     ISO Abbreviation:  J. Am. Acad. Dermatol.     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-08-31     Completed Date:  2005-03-17     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7907132     Medline TA:  J Am Acad Dermatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  411-5     Citation Subset:  IM    
Affiliation:
Department of Pathology, Sunrise Hospital and Medical Center, USA. ruhoy@lasvegaspathologist.com
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MeSH Terms
Descriptor/Qualifier:
Breast Neoplasms / pathology
Carcinoma, Basal Cell / pathology
Carcinoma, Intraductal, Noninfiltrating / pathology
DNA Probes, HPV
Darier Disease / etiology*
Facial Dermatoses / etiology,  pathology
Female
Genetic Predisposition to Disease
Goiter, Nodular / complications
Hamartoma Syndrome, Multiple / complications,  diagnosis*
Humans
Melanoma / pathology
Middle Aged
Neoplasms, Multiple Primary / pathology
Scalp / pathology
Skin Neoplasms / pathology
Tongue Diseases / etiology,  pathology
Chemical
Reg. No./Substance:
0/DNA Probes, HPV

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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