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Solitary eccrine syringofibroadenoma with nail involvement: A rare entity.

Arora P, Bansal S, Garg VK, Khurana N, Lal B - Indian J Dermatol (2015 Jan-Feb)

Bottom Line: Although the clinical features are variable, histology is characteristic in the form of anastomosing strands, cords and columns of epithelial cells embedded in a fibrovascular stroma.We report the case of a 62-year-old male with a nodular lesion on the extremity that caused secondary involvement of the nail in the form of complete nail dystrophy.Nail involvement by ESFA is a rare presentation and is rarely described in the literature.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India.

ABSTRACT
Eccrine syringofibroadenoma (ESFA) is a rare, benign tumor of eccrine sweat gland origin that usually presents as a nodule on the extremities of an elderly person. It can also present as an ulcerative plaque, verrucous lesion, papular or nodular lesion or as palmoplantar keratoderma. Although the clinical features are variable, histology is characteristic in the form of anastomosing strands, cords and columns of epithelial cells embedded in a fibrovascular stroma. We report the case of a 62-year-old male with a nodular lesion on the extremity that caused secondary involvement of the nail in the form of complete nail dystrophy. The histology showed features consistent with ESFA. Nail involvement by ESFA is a rare presentation and is rarely described in the literature.

No MeSH data available.


Related in: MedlinePlus

Warty keratotic plaque with secondary nail dystrophy
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Figure 1: Warty keratotic plaque with secondary nail dystrophy

Mentions: A 62-year-old male came to our outpatient department complaining of a slowly enlarging painful swelling over the left index finger of 1 year duration. The pain was intermittent and radiated to the left wrist. There was no history of diabetes mellitus or any other cutaneous lesion. Examination revealed a sharply demarcated nodular plaque with thick adherent scale over the skin on the distal phalanx of left index finger. The lesion had a warty, keratotic surface [Figure 1]. The nail showed complete dystrophy. X-ray of the involved hand revealed soft tissue swelling in index finger with partial resorption of tip of distal finger phalanx.


Solitary eccrine syringofibroadenoma with nail involvement: A rare entity.

Arora P, Bansal S, Garg VK, Khurana N, Lal B - Indian J Dermatol (2015 Jan-Feb)

Warty keratotic plaque with secondary nail dystrophy
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4318028&req=5

Figure 1: Warty keratotic plaque with secondary nail dystrophy
Mentions: A 62-year-old male came to our outpatient department complaining of a slowly enlarging painful swelling over the left index finger of 1 year duration. The pain was intermittent and radiated to the left wrist. There was no history of diabetes mellitus or any other cutaneous lesion. Examination revealed a sharply demarcated nodular plaque with thick adherent scale over the skin on the distal phalanx of left index finger. The lesion had a warty, keratotic surface [Figure 1]. The nail showed complete dystrophy. X-ray of the involved hand revealed soft tissue swelling in index finger with partial resorption of tip of distal finger phalanx.

Bottom Line: Although the clinical features are variable, histology is characteristic in the form of anastomosing strands, cords and columns of epithelial cells embedded in a fibrovascular stroma.We report the case of a 62-year-old male with a nodular lesion on the extremity that caused secondary involvement of the nail in the form of complete nail dystrophy.Nail involvement by ESFA is a rare presentation and is rarely described in the literature.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India.

ABSTRACT
Eccrine syringofibroadenoma (ESFA) is a rare, benign tumor of eccrine sweat gland origin that usually presents as a nodule on the extremities of an elderly person. It can also present as an ulcerative plaque, verrucous lesion, papular or nodular lesion or as palmoplantar keratoderma. Although the clinical features are variable, histology is characteristic in the form of anastomosing strands, cords and columns of epithelial cells embedded in a fibrovascular stroma. We report the case of a 62-year-old male with a nodular lesion on the extremity that caused secondary involvement of the nail in the form of complete nail dystrophy. The histology showed features consistent with ESFA. Nail involvement by ESFA is a rare presentation and is rarely described in the literature.

No MeSH data available.


Related in: MedlinePlus