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JAMA Dermatology Clinicopathological Challenge |

Asymptomatic Papular Eruption in a Teenage Boy QUIZ

Samantha Gordon, BS1; Jodi J. Speiser, MD2; Lily Changchien Uihlein, MD1
[+] Author Affiliations
1Division of Dermatology, Department of Medicine, Loyola University Medical Center, Maywood, Illinois
2Department of Pathology, Loyola University Medical Center, Maywood, Illinois
JAMA Dermatol. 2015;151(9):1019-1020. doi:10.1001/jamadermatol.2015.1432.
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Figure 1.

A, Multiple small brown papules of the chest. Localized erythema developed around several lesions after firm stroking. B, Scattered small brown papules of the lateral thigh.

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Figure 2.

Biopsy specimen obtained from the thigh. Shown is a tumor in the superficial dermis composed of interconnecting eccrine strands and ducts dispersed in fibrous stroma. On high power (hematoxylin-eosin, original magnification ×200), the ducts appear to be lined by 2 layers of flattened cuboidal cells. There is a cuticle lining the lumina of a few of the ducts, one of which contains eosinophilic granular debris. Some of the ducts are associated with an epithelial strand, creating the tadpole shape characteristic of this lesion.

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