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Archive

Spring 2017, Vol. 25 No. 1

Hong Kong J. Dermatol. Venereol. (2017) 25, 29-32


Case Report

Steatocystoma multiplex involving the face and scalp: a case report

一宗涉及臉部和頭皮的多發性脂囊瘤案例報告

JP Vukićević

Abstract

Steatocystoma multiplex (SM) is an uncommon, familial or sporadic disorder of the pilosebaceous unit. It is usually characterised by multiple, asymptomatic, skin-coloured or yellowish, sebum-containing dermal cysts. Steatocystoma multiplex can appear anywhere, but is more common on the trunk, neck, inguinal region and proximal extremities. Cases with lesions localised on the face and scalp have also been described, but are rare. A 62-year-old man presented with multiple, yellowish, smooth, non-tender cutaneous cysts of about 2 cm in diameter on his scalp, bilateral temples and upper back. He first noticed the lesions 10 years ago. There was no family history of similar lesions. The nails, teeth and hair were normal. Histopathology revealed steatocystoma multiplex. Treatment by CO2 laser was planned.

多發性脂囊瘤是一種罕見的家族性或偶發性毛囊皮脂腺單位病症。其通常特徵為多發性、無症狀、皮膚色或淡黃色的含皮脂真皮囊腫。多發性脂囊瘤可以出現在任何部位,常見於軀幹、頸部、腹股溝區及近端四肢。限於面部和頭皮的個案也曾有論述,但屬罕見。一名六十二歲的男仕,在他的頭皮、雙側太陽穴部位和上背部有多個黃色光滑、無觸痛感的皮膚囊腫,直徑約有兩厘米。他十年前首次注意到這些病變,而指甲、牙齒和頭髮全都正常,其家族成員亦不見有此皮膚表現。組織病理學顯示為多發性脂囊瘤。治療方案會考慮二氧化碳激光治療。

Keywords: CO2 laser, face, pilar cyst, scalp, steatocystoma multiplex

關鍵詞: 二氧化碳激光、面部、毛髮囊腫、頭皮、多發性脂囊瘤