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Translate this page into:

Image Correspondence
1 (
2
); 136-137
doi:
10.25259/IJPGD_20_2023

Circumscribed Translucent Papule on the Eyelid

Department of Dermatology, Venereology and Leprosy, Shri B M Patil Medical College Hospital and Research Centre, BLDE (Deemed to be University), Vijayapur, Karnataka, India
Corresponding author: Arun C. Inamadar, Department of Dermatology, Venereology and Leprosy, Shri B M Patil Medical College Hospital and Research Centre, BLDE (Deemed to be University), Vijayapur, Karnataka, India. aruninamadar@gmail.com
Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Adya KA, Inamadar AC. Circumscribed Translucent Papule on the Eyelid. Indian J Postgrad Dermatol 2023;1:136-7.

A middle-aged man presented with a 1-year-old asymptomatic eyelid lesion. Examination revealed a well-circumscribed, dome-shaped and whitish translucent papule on the right upper eyelid near the medial canthus [Figure 1]. Dermoscopy revealed translucent homogeneous white structureless area occupying almost the entire lesion with in-focus branching and progressively tapering thin linear serpentine vessels extending from periphery towards, but not crossing, the centre [Figure 2]. The clinical and dermoscopic findings were typical of an apocrine hidrocystoma.

Figure 1:
Well-defined translucent-white dome-shaped papule on the right upper eyelid near the medial canthus.
Figure 2:
Dermoscopy of apocrine hidrocystoma showing translucent homogeneous white structureless area (black star) and slender linear serpentine branching and progressively tapering vessels (black arrow) extending from the periphery towards, but not crossing the centre. (Polarised dermoscopy [DermLite™ DL3, 3Gen Inc., San Juan Capistrano, CA, USA], ×10).

Apocrine hidrocystoma is a rare, usually solitary, benign apocrine gland tumour, frequently affecting the head and neck region of middle-aged to elderly individuals with typical clinical and dermoscopic features as described above. Apocrine and eccrine hidrocystomas are clinically and dermoscopically indistinguishable. However, eccrine forms are smaller and more translucent, do not involve eyelid margin, tend to enlarge during summer and may be multiple. Multiple eyelid apocrine hidrocystomas are seen in Schopf–Schultz–Passarge syndrome.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent.

Conflicts of interest

There are no conflicts of interest.

Financial support and sponsorship

Nil.


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