Wednesday, 19 April 2017

Dermatofibroma

What is dermatofibroma ?
  • It is a benign condition
  • It typically appears in females 9 times more often than in males.
  • It is also known as superficial benign fibrous histiocytoma.


What is it caused by ?
  • The exact cause of its development is unknown.
  • There was an inital theory that it was a reaction following an insect bite. It is also hypothesized to be a neoplastic growth.
  • Hypothesis: The female predominance and its occurence in young age suggests that hormonal factors may play a role.


What does it look like ?
  • It presents as dermal bumps which are typically present on the legs.
  • It displays the dimple sign when compressed laterally: the lesion becomes depressed.
  • The nodules can be dark-coloured. This is because of the deposit of hemosiderin. (In those cases, it can mimick malignant melanoma)
    Pigmented Dermatofibroma
    Pigmented Dermatofibroma
When examined by a dermatologist with a dermoscopy, the most typical pattern is a stellate white central pattern surrounded by a rim of hyperpigmentation. At the surface, a pigmented network may be present.

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