Papillary eccrine adenoma in a 5-year-old girl altered by ap
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Papillary eccrine adenoma (PEA) usually presents in adults on the extremities. A 5-year-old girl presented with an asymptomatic solitary nodule on the face just lateral to the right eyebrow of 6-month duration. On examination, there was a well-circumscribed globoid pink nodule of size 0.75 cm diameter with an irregular surface. She was advised excision biopsy of the lesion considering the possibilities of benign appendageal tumor or spitz nevus. Her parents were worried about the scar that could result with excision of the lesion. Hence, they resorted to homeopathic treatment and were advised an ointment named Thuja, which contains the botanical agent Thuja occidentalis.

After 6 months, child was brought again with peripheral extension of the lesion. On examination there was an annular plaque of size 2 cm × 2 cm with a slightly depressed center and periphery studded with milia-like papules. A complete excision was done which however resulted in an irregular scar greater in size than the initial tumor. As the lesion was on the face and clinically appeared benign, excision was done close to the edge of the lesion. The patient was followed up for 1 year with no signs of recurrence. The final diagnosis was of PEA. It is a rare benign appendageal tumor involving eccrine sweat glands.

Source: https://www.jcasonline.com/article.asp?issn=0974-2077;year=2020;volume=13;issue=4;spage=370;epage=371;aulast=Ambooken
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