Table 1. Differential diagnoses of epidermal cyst en plaque.
Contents | Epidermal cyst | MEP3 | Idiopathic calcinosis cutis2 | Steatocystoma multiplex4 |
---|---|---|---|---|
Peak age | Third and fourth decades | Fourth to seventh decades | Third and fourth decades | Second and third decades |
Clinical features | Flesh colored nodule | Firm, white papules (several millimeters) on an erythematous base | Slow-growing yellowish nodules | Firm, yellowish colored papules and nodules |
Histology | Lined by stratified squamous cells with keratinous and other materials | Lined by stratified squamous cells with keratinous materials | Deposition of calcium in the dermis without lining | Lined by stratified squamous epithelium containing sebaceous gland |
Predilection site | Scalp, Trunk, Face | Retroauricular area | Scrotum | Chest |
Lesion numbers | Single to multiple | Multiple | Single to multiple | Multiple |
Treatment options | Excision | Excision Topical retinoids |
Excision | Excision Laser treatment |
MEP: milia en plaque.