International Journal of Trichology International Journal of Trichology
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Year : 2018  |  Volume : 10  |  Issue : 1  |  Page : 31-33

Eruptive vellus hair cyst: An uncommon and underdiagnosed entity

1 Department of Pathology, Hindu Rao Hospital and NDMC Medical College, New Delhi, India
2 Department of Dermatology, Hindu Rao Hospital and NDMC Medical College, New Delhi, India

Correspondence Address:
Dr. Priyanka Anand
Department of Pathology, Hindu Rao Hospital and NDMC Medical College, New Delhi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijt.ijt_61_17

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Eruptive vellus hair cyst (EVHC) is a rare follicular developmental abnormality of the vellus hair follicles. They are usually seen in children, adolescents, or young adults and manifest as reddish-brown smooth papules most commonly involving the chest, limbs, and abdomen. An 18-year-old male presented with asymptomatic papules on the trunk and flexor aspect of both forearms for the past 2 years. There was no family history of similar lesions. His medical history was also not contributory. A clinical diagnosis of steatocystoma multiplex and chronic folliculitis was given, and a punch biopsy from the papule was performed and sent for histopathological examination. On microscopic examination, a final diagnosis of EVHC was rendered. The patient was advised topical treatment of retinoic acid cream (0.05%) for 6 months, and he is currently under follow-up period. Due to its rarity and resemblance to many similar entities, histopathological examination plays a major role in establishing a definite diagnosis and further proper management of the patient. We report this unusual case to generate awareness about this rarely diagnosed condition.

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