Massive exophytic abscesses and fibrotic masses of the chin: A variant of the follicular occlusion triad
We present a patient with an extensive cluster of exophytic nodules that developed on his chin. These nodules consisted of abscesses and fibrotic areas. Lesion morphology, histology, and microbiology support a follicular occlusion triad entity. However, the distribution is striking and does not fit...
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| Published in: | Journal of the American Academy of Dermatology Vol. 48; no. 5; pp. S47 - S50 |
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| Main Authors: | , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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01-05-2003
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| Abstract | We present a patient with an extensive cluster of exophytic nodules that developed on his chin. These nodules consisted of abscesses and fibrotic areas. Lesion morphology, histology, and microbiology support a follicular occlusion triad entity. However, the distribution is striking and does not fit the entities described in the triad. We present the case to show that follicular occlusion was the inciting factor in our patient's eruption and to broaden our concept of clinical manifestations that can arise from this pathologic process. (J Am Acad Dermatol 2003;48:S47-50.) |
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| AbstractList | We present a patient with an extensive cluster of exophytic nodules that developed on his chin. These nodules consisted of abscesses and fibrotic areas. Lesion morphology, histology, and microbiology support a follicular occlusion triad entity. However, the distribution is striking and does not fit the entities described in the triad. We present the case to show that follicular occlusion was the inciting factor in our patient's eruption and to broaden our concept of clinical manifestations that can arise from this pathologic process. (J Am Acad Dermatol 2003;48:S47-50.) We present a patient with an extensive cluster of exophytic nodules that developed on his chin. These nodules consisted of abscesses and fibrotic areas. Lesion morphology, histology, and microbiology support a follicular occlusion triad entity. However, the distribution is striking and does not fit the entities described in the triad. We present the case to show that follicular occlusion was the inciting factor in our patient's eruption and to broaden our concept of clinical manifestations that can arise from this pathologic process. |
| Author | Polley, Kimberly DeCamp, Nicole Grillone, Greg Grande, Donald Meyers, Scott W. Bercovitch, Lionel Taira, James Mahalingam, Meera |
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| Cites_doi | 10.1001/archopht.1967.00980020637012 10.1111/j.1365-2133.1990.tb06264.x 10.1111/j.1365-2133.1995.tb02624.x 10.1016/S0190-9622(96)90277-7 10.1136/bmj.287.6402.1346-a 10.1097/00000637-198703000-00009 10.1111/j.1365-2133.1996.tb03880.x 10.1159/000250343 10.1111/j.1365-2133.1992.tb00693.x 10.1099/00222615-48-1-103 |
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| Keywords | Case study Human Pseudotumor Skin disease Hidradenitis suppurativa Abscess Clinical form Chin Sweat gland disease |
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| References | Chicarilli (bib6) 1987; 18 Fleisher, Bryant, Spiegel, Christian, Farraye (bib11) 1996; 23 Jemec, Hansen (bib2) 1996; 34 Shenefelt (bib8) 1996; 57 Chow, Mortimer (bib7) 1992; 126 Hurley (bib10) 1992 Lucas (bib3) 1997 Attanous, Appleton, Douglas-Jones (bib1) 1995; 133 Yu, Cook (bib13) 1990; 122 Djawari, Homstein (bib4) 1980; 116 Sachs, Gordon (bib14) 1967; 77 Chalmers, Ead, Beck, Dewis, Anderson (bib9) 1983; 287 Brook, Frazier (bib5) 1999; 48 Boer, Weltevreden (bib12) 1996; 135 Brook (10.1067/mjd.2003.145_bib5) 1999; 48 Hurley (10.1067/mjd.2003.145_bib10) 1992 Boer (10.1067/mjd.2003.145_bib12) 1996; 135 Shenefelt (10.1067/mjd.2003.145_bib8) 1996; 57 Chicarilli (10.1067/mjd.2003.145_bib6) 1987; 18 Chow (10.1067/mjd.2003.145_bib7) 1992; 126 Chalmers (10.1067/mjd.2003.145_bib9) 1983; 287 Jemec (10.1067/mjd.2003.145_bib2) 1996; 34 Lucas (10.1067/mjd.2003.145_bib3) 1997 Fleisher (10.1067/mjd.2003.145_bib11) 1996; 23 Yu (10.1067/mjd.2003.145_bib13) 1990; 122 Djawari (10.1067/mjd.2003.145_bib4) 1980; 116 Attanous (10.1067/mjd.2003.145_bib1) 1995; 133 Sachs (10.1067/mjd.2003.145_bib14) 1967; 77 |
| References_xml | – volume: 122 start-page: 763 year: 1990 end-page: 769 ident: bib13 article-title: Hidradenitis suppurativa: a disease of follicular epithelium, rather than apocrine glands publication-title: Br J Dermatol contributor: fullname: Cook – volume: 48 start-page: 103 year: 1999 end-page: 105 ident: bib5 article-title: Aerobic and anaerobic microbiology of axillary hidradenitis suppurativa publication-title: J Med Microbiol contributor: fullname: Frazier – volume: 34 start-page: 994 year: 1996 end-page: 999 ident: bib2 article-title: Histology of hidradenitis suppurativa publication-title: J Am Acad Dermatol contributor: fullname: Hansen – volume: 18 start-page: 230 year: 1987 end-page: 237 ident: bib6 article-title: Follicular occlusion triad: hidradenitis suppurativa, acne conglobata, and dissecting cellulitis of the scalp publication-title: Ann Plast Surg contributor: fullname: Chicarilli – start-page: 1506 year: 1992 end-page: 1511 ident: bib10 article-title: Disease of the apocrine sweat glands publication-title: Moschella and Hurley's dermatology contributor: fullname: Hurley – volume: 116 start-page: 116 year: 1980 ident: bib4 article-title: Recurrent chronic pyoderma with cellular immunodeficiency publication-title: Dermatologica contributor: fullname: Homstein – volume: 77 start-page: 635 year: 1967 end-page: 636 ident: bib14 article-title: Hidradenitis suppurativa of glands of Moll publication-title: Arch Ophthalmol contributor: fullname: Gordon – volume: 23 start-page: 171 year: 1996 end-page: 173 ident: bib11 article-title: Peristomal hidradenitis suppurativa publication-title: J Wound Ostomy Continence Nurs contributor: fullname: Farraye – volume: 126 start-page: 415 year: 1992 ident: bib7 article-title: Successful treatment of hidradenitis suppurativa and retroauricular acne with etretinate publication-title: Br J Dermatol contributor: fullname: Mortimer – volume: 135 start-page: 721 year: 1996 end-page: 725 ident: bib12 article-title: Hidradenitis suppurativa or acne inversa: a clinicopathological study of early lesions publication-title: Br J Dermatol contributor: fullname: Weltevreden – volume: 133 start-page: 254 year: 1995 end-page: 258 ident: bib1 article-title: The pathogenesis of hidradenitis suppurativa: a closer look at apocrine and apoeccrine glands publication-title: Br J Dermatol contributor: fullname: Douglas-Jones – start-page: 461 year: 1997 end-page: 463 ident: bib3 article-title: Bacterial disease publication-title: Lever's histopathology of the skin contributor: fullname: Lucas – volume: 57 start-page: 315 year: 1996 end-page: 319 ident: bib8 article-title: Pyoderma gangrenosum associated with cystic acne and hidradenitis suppurativa controlled by adding minocycline and sulfasalazine to the treatment regimen publication-title: Cutis contributor: fullname: Shenefelt – volume: 287 start-page: 1346 year: 1983 end-page: 1347 ident: bib9 article-title: Acne vulgaris and hidradenitis suppurativa as presenting features of acromegaly publication-title: Br Med J contributor: fullname: Anderson – volume: 77 start-page: 635 year: 1967 ident: 10.1067/mjd.2003.145_bib14 article-title: Hidradenitis suppurativa of glands of Moll publication-title: Arch Ophthalmol doi: 10.1001/archopht.1967.00980020637012 contributor: fullname: Sachs – volume: 122 start-page: 763 year: 1990 ident: 10.1067/mjd.2003.145_bib13 article-title: Hidradenitis suppurativa: a disease of follicular epithelium, rather than apocrine glands publication-title: Br J Dermatol doi: 10.1111/j.1365-2133.1990.tb06264.x contributor: fullname: Yu – volume: 133 start-page: 254 year: 1995 ident: 10.1067/mjd.2003.145_bib1 article-title: The pathogenesis of hidradenitis suppurativa: a closer look at apocrine and apoeccrine glands publication-title: Br J Dermatol doi: 10.1111/j.1365-2133.1995.tb02624.x contributor: fullname: Attanous – volume: 34 start-page: 994 year: 1996 ident: 10.1067/mjd.2003.145_bib2 article-title: Histology of hidradenitis suppurativa publication-title: J Am Acad Dermatol doi: 10.1016/S0190-9622(96)90277-7 contributor: fullname: Jemec – volume: 287 start-page: 1346 year: 1983 ident: 10.1067/mjd.2003.145_bib9 article-title: Acne vulgaris and hidradenitis suppurativa as presenting features of acromegaly publication-title: Br Med J doi: 10.1136/bmj.287.6402.1346-a contributor: fullname: Chalmers – volume: 18 start-page: 230 year: 1987 ident: 10.1067/mjd.2003.145_bib6 article-title: Follicular occlusion triad: hidradenitis suppurativa, acne conglobata, and dissecting cellulitis of the scalp publication-title: Ann Plast Surg doi: 10.1097/00000637-198703000-00009 contributor: fullname: Chicarilli – volume: 57 start-page: 315 year: 1996 ident: 10.1067/mjd.2003.145_bib8 article-title: Pyoderma gangrenosum associated with cystic acne and hidradenitis suppurativa controlled by adding minocycline and sulfasalazine to the treatment regimen publication-title: Cutis contributor: fullname: Shenefelt – start-page: 461 year: 1997 ident: 10.1067/mjd.2003.145_bib3 article-title: Bacterial disease contributor: fullname: Lucas – volume: 135 start-page: 721 year: 1996 ident: 10.1067/mjd.2003.145_bib12 article-title: Hidradenitis suppurativa or acne inversa: a clinicopathological study of early lesions publication-title: Br J Dermatol doi: 10.1111/j.1365-2133.1996.tb03880.x contributor: fullname: Boer – volume: 116 start-page: 116 year: 1980 ident: 10.1067/mjd.2003.145_bib4 article-title: Recurrent chronic pyoderma with cellular immunodeficiency publication-title: Dermatologica doi: 10.1159/000250343 contributor: fullname: Djawari – start-page: 1506 year: 1992 ident: 10.1067/mjd.2003.145_bib10 article-title: Disease of the apocrine sweat glands contributor: fullname: Hurley – volume: 126 start-page: 415 year: 1992 ident: 10.1067/mjd.2003.145_bib7 article-title: Successful treatment of hidradenitis suppurativa and retroauricular acne with etretinate publication-title: Br J Dermatol doi: 10.1111/j.1365-2133.1992.tb00693.x contributor: fullname: Chow – volume: 48 start-page: 103 year: 1999 ident: 10.1067/mjd.2003.145_bib5 article-title: Aerobic and anaerobic microbiology of axillary hidradenitis suppurativa publication-title: J Med Microbiol doi: 10.1099/00222615-48-1-103 contributor: fullname: Brook – volume: 23 start-page: 171 year: 1996 ident: 10.1067/mjd.2003.145_bib11 article-title: Peristomal hidradenitis suppurativa publication-title: J Wound Ostomy Continence Nurs contributor: fullname: Fleisher |
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| Snippet | We present a patient with an extensive cluster of exophytic nodules that developed on his chin. These nodules consisted of abscesses and fibrotic areas. Lesion... |
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| SubjectTerms | Abscess - pathology Abscess - surgery Biological and medical sciences Chin - pathology Dermatology Fibrosis - pathology Fibrosis - surgery Folliculitis - complications Folliculitis - pathology Folliculitis - surgery Humans Laser Therapy Male Medical sciences Middle Aged Skin involvement in other diseases. Miscellaneous. General aspects |
| Title | Massive exophytic abscesses and fibrotic masses of the chin: A variant of the follicular occlusion triad |
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