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DermAtlas: Histology - vellus hair cysts, eruptive
© 2001-2010, DermAtlas
Image Name: vellus_hair_cyst_2_060130   File Type: jpg
Diagnosis: VELLUS HAIR CYSTS, ERUPTIVE /
CYST
  Category: cysts /
genodermatosis/genetic disorder
Body Site: chest   Age: 34 years
Contributor: Greg Hosler, MD, PhD    
Description: At higher power of the same lesion, the cyst lining is thin and squamous. Within the lumen there are abundant thin vellus hairs, caught in cross-section.
Comments: This vellus hair cyst was an isolated lesion on a 34-year-old Asian male, and likely idiopathic. When multiple, they can be associated with eruptive vellus hair cysts, an autosomal dominant disorder. The chest and abdomen are common places for them. Histologically, they are distinctive, as they often have multiple vellus hairs within the cyst lumen, as in this case. Sometimes follicles are present in the cyst wall, supporting their follicular infundibulum derivation.
Related Images: vellus_hair_cyst_1_060130 

DermAtlas: Histology - vellus hair cysts, eruptive
© 2001-2010, DermAtlas
Image Name: vellus_hair_cyst_1_060130   File Type: jpg
Diagnosis: VELLUS HAIR CYSTS, ERUPTIVE   Category: cysts /
genodermatosis/genetic disorder
Body Site: chest   Age: 34 years
Contributor: Greg Hosler, MD, PhD    
Description: Histologic sections of skin show a bland-appearing cyst deep within the reticular dermis. At low power, the lining appears squamous with abundant hairs within the lumen.
Comments: This vellus hair cyst was an isolated lesion on a 34-year-old Asian male, and likely idiopathic. When multiple, they can be associated with eruptive vellus hair cysts, an autosomal dominant disorder. The chest and abdomen are common places for them. Histologically, they are distinctive, as they often have multiple vellus hairs within the cyst lumen, as in this case. Sometimes follicles are present in the cyst wall, supporting their follicular infundibulum derivation.
Related Images: vellus_hair_cyst_2_060130 

DermAtlas: ABDOMEN - vellus hair cysts, eruptive
© 2001-2010, DermAtlas
Image Name: vellus_hair_cysts_1_050820   File Type: jpg
Diagnosis: VELLUS HAIR CYSTS, ERUPTIVE /
MALFORMATION, CONGENITAL
  Category: lumps & bumps (plaques, nodules, tumors) /
congenital malformation
Body Site: abdomen   Age: 5 years
Contributor: Will Sorey, MD    
Description: multiple 2 mm grouped hyperpigmented follicular papules
Comments: This healthy 5-year-old girl had multiple asymptomatic congenital follicular papules on the lower mid abdomen. Occasionally hairs were noted to pop out of the lesions.

DermAtlas: CHEST - vellus hair cysts, eruptive
© 2001-2010, DermAtlas
Image Name: vellus_hair_cyst_1_050523   File Type: jpg
Diagnosis: VELLUS HAIR CYSTS, ERUPTIVE /
GYNECOMASTIA
  Category: hair disorders /
normal physiologic variant
Body Site: chest   Age: 12 years
Contributor: Bernard Cohen, MD    
Description: gynechomastia with multiple symmetric follicular hyperpigmented papules
Comments: This healthy 12-year-old boy with benign gynechomastia developed multiple follicular papules on his chest 3 years ago. The central core of some of the lesions discharged a yellow material. A skin biopsy revealed a ruptured vellus hair follicle.
Related Images: vellus_hair_cyst_2_050523 

DermAtlas: CHEST - vellus hair cysts, eruptive
© 2001-2010, DermAtlas
Image Name: vellus_hair_cyst_2_050523   File Type: jpg
Diagnosis: VELLUS HAIR CYSTS, ERUPTIVE /
GYNECOMASTIA
  Category: hair disorders /
normal physiologic variant
Body Site: chest   Age: 12 years
Contributor: Bernard Cohen, MD    
Description: gynechomastia with multiple symmetric follicular hyperpigmented papules
Comments: This healthy 12-year-old boy with benign gynechomastia developed multiple follicular papules on his chest 3 years ago. The central core of some of the lesions discharged a yellow material. A skin biopsy revealed a ruptured vellus hair follicle.
Related Images: vellus_hair_cyst_1_050523 

DermAtlas: CHEEK - vellus hair cysts, eruptive
© 2001-2010, DermAtlas
Image Name: vellus_hair_cysts_1_050507   File Type: jpg
Diagnosis: VELLUS HAIR CYSTS, ERUPTIVE   Category: hair disorders /
hyperpigmentation
Body Site: cheek / abdomen
arm
  Age: 9 years
Contributor: Bernard Cohen, MD    
Description: symmetric grouped hyperpigmented follicular papules
Comments: Two healthy brothers developed multiuple follicular papules on the chest, abdomen, flexures of the arms, and a few on the flanks about a year ago. The contents of a papule on the chest was prepared with potassium hydroxide and revealed multiple vellus hairs.
Related Images: All related Images  vellus_hair_cysts_7_050507  vellus_hair_cysts_6_050507  vellus_hair_cysts_5_050507  vellus_hair_cysts_4_050507  vellus_hair_cysts_3_050507  vellus_hair_cysts_2_050507 

DermAtlas: CHEST - vellus hair cysts, eruptive
© 2001-2010, DermAtlas
Image Name: vellus_hair_cysts_2_050507   File Type: jpg
Diagnosis: VELLUS HAIR CYSTS, ERUPTIVE   Category: hair disorders /
hyperpigmentation
Body Site: chest / abdomen
arm
  Age: 9 years
Contributor: Bernard Cohen, MD    
Description: symmetric grouped hyperpigmented follicular papules
Comments: Two healthy brothers developed multiuple follicular papules on the chest, abdomen, flexures of the arms, and a few on the flanks about a year ago. The contents of a papule on the chest was prepared with potassium hydroxide and revealed multiple vellus hairs.
Related Images: All related Images  vellus_hair_cysts_7_050507  vellus_hair_cysts_6_050507  vellus_hair_cysts_5_050507  vellus_hair_cysts_4_050507  vellus_hair_cysts_3_050507  vellus_hair_cysts_1_050507 

DermAtlas: ARM - vellus hair cysts, eruptive
© 2001-2010, DermAtlas
Image Name: vellus_hair_cysts_3_050507   File Type: jpg
Diagnosis: VELLUS HAIR CYSTS, ERUPTIVE   Category: hair disorders /
hyperpigmentation
Body Site: arm / abdomen   Age: 9 years
Contributor: Bernard Cohen, MD    
Description: symmetric grouped hyperpigmented follicular papules
Comments: Two healthy brothers developed multiuple follicular papules on the chest, abdomen, flexures of the arms, and a few on the flanks about a year ago. The contents of a papule on the chest was prepared with potassium hydroxide and revealed multiple vellus hairs.
Related Images: All related Images  vellus_hair_cysts_7_050507  vellus_hair_cysts_6_050507  vellus_hair_cysts_5_050507  vellus_hair_cysts_4_050507  vellus_hair_cysts_2_050507  vellus_hair_cysts_1_050507 

DermAtlas: CHEST - vellus hair cysts, eruptive
© 2001-2010, DermAtlas
Image Name: vellus_hair_cysts_4_050507   File Type: jpg
Diagnosis: VELLUS HAIR CYSTS, ERUPTIVE   Category: hair disorders /
hyperpigmentation
Body Site: chest / abdomen
arm
  Age: 9 years
Contributor: Bernard Cohen, MD    
Description: symmetric grouped hyperpigmented follicular papules
Comments: Two healthy brothers developed multiuple follicular papules on the chest, abdomen, flexures of the arms, and a few on the flanks about a year ago. The contents of a papule on the chest was prepared with potassium hydroxide and revealed multiple vellus hairs.
Related Images: All related Images  vellus_hair_cysts_7_050507  vellus_hair_cysts_6_050507  vellus_hair_cysts_5_050507  vellus_hair_cysts_3_050507  vellus_hair_cysts_2_050507  vellus_hair_cysts_1_050507 

DermAtlas: CHEST - vellus hair cysts, eruptive
© 2001-2010, DermAtlas
Image Name: vellus_hair_cysts_5_050507   File Type: jpg
Diagnosis: VELLUS HAIR CYSTS, ERUPTIVE   Category: hair disorders /
hyperpigmentation
Body Site: chest / abdomen
arm
  Age: 9 years
Contributor: Bernard Cohen, MD    
Description: symmetric grouped hyperpigmented follicular papules
Comments: Two healthy brothers developed multiuple follicular papules on the chest, abdomen, flexures of the arms, and a few on the flanks about a year ago. The contents of a papule on the chest was prepared with potassium hydroxide and revealed multiple vellus hairs.
Related Images: All related Images  vellus_hair_cysts_7_050507  vellus_hair_cysts_6_050507  vellus_hair_cysts_4_050507  vellus_hair_cysts_3_050507  vellus_hair_cysts_2_050507  vellus_hair_cysts_1_050507 

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Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Jan-18-2010
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