case_images: PMC5803851_01
case_images: Multiple, 1-2-mm, hyperpigmented papules on the flexor aspect of forearm
case_images: IJT-10-31-g001.jpg
case_images: PMC5803851_01_IJT-10-31-g001.jpg
case_images: F1
case_images: Physical examination revealed multiple discrete, reddish-brown-colored, 2-3 mm sized dome-shaped hyperpigmented papules [Figure 1].
case_images: Acyst is seen in the lower dermis lined by flattened squamous epithelium(H and E, x4)
case_images: IJT-10-31-g002.jpg
case_images: PMC5803851_01_IJT-10-31-g002.jpg
case_images: F2
case_images: On microscopic examination, a cyst lined by two to three layers of squamous epithelium was noted in the lower dermis [Figure 2].
case_images: (a) Cyst cavity containing laminated keratinous material and multiple vellus hair shafts(H and E, x10). (b) Cyst lining showing the presence of granular layer(arrow) and containing numerous vellus hairs and keratinous material(H and E, x40)
case_images: IJT-10-31-g003.jpg
case_images: PMC5803851_01_IJT-10-31-g003.jpg
case_images: F3
case_images: The cyst cavity contained abundant laminated keratinous debris, and numerous vellus hair shafts were identified [Figure 3a and b].