Authors: Marie Claudine Francesca B. Perlas, MD; Mary Catherine T. Galang, MD ;Maria Teresita G. Gabriel, MD, FPDS; Alexander R. Castillo, MD, FPDSd

Abstract

Trichoepithelioma is a rare benign tumor arising from hair follicles usually located on the nose, upper lips and cheeks. The condition usually affects females and is cosmetically disfiguring. Malignant transformation is rare. We report a case of trichoepithelioma in a 14-yearold female, who presented with an eleven-year history of multiple skin-colored, firm, asymptomatic papules and nodules on the face. The patient was treated with three sessions of carbon dioxide laser ablation to remove the lesions. Most of the lesions resolved with atrophic scars, which were subsequently treated with carbon dioxide laser resurfacing. Close follow-up is recommended in this case tomonitor for recurrence.

Citation

Perlas, MCF, Galang, MC, Gabriel, MT & Castillo, AR. (2017). Multiple familial trichoepitheliomas: A disfiguring malady successfully treated with carbon dioxide laser. Journal of the Philippine Dermatological Society, 26(1), 82-84.

Keywords

trichoepithelioma, carbon dioxide laser

1. 1. Yiltok SJ, Echejoh GO, Mohammad AM, Ituen AM, Igoche MI, Dades OT. Multiple
   familial trichoepithelioma: a case report and review of literature. Niger J Clin Pract.
   2010 June; 13(2): 230-232.
2. Bolognia JL, Jorizzo JL, Schaffer JV. Dermatology. 3rd ed. Philadelphia: Elsevier
   Saunders. 2012; 1834.
3. Karikal A, Shetty P, Karikal A, Shetty SR. Multiple trichoepitheliomas: A rare
   occurrence. South Asian J Cancer. 2013; 2:54.
4. Mohammadi AA, Seyed Jafari SM. Trichoepithelioma: A rare but crucial
   dermatologic issue. World J Plast Surg. 2014; 3(2):142-145.
5. Kaur T, Puri KJPS, Chahal KS, Budhwar J. Multiple familial trichoepitheliomas: a
   case report and review. Egypt Dermatol Online J. 2012 December; 8(2):11
   82 J Phil Dermatol Soc • May 2017 • ISSN: 2094-201X
6. Salhi A, Bornholdt D, Oeffner F, Malik S, Heid E, Happle R, et al. Multiple familial
   trichoepithelioma caused by mutations in the cylindromatosis tumor suppressor
   gene. Cancer Res 64.15 (2004): 5113-5117.
7. Weedon, D. Weedon’s skin pathology. 3rded. London: Churchill Livingstone Elsevier.
   2010; 761.
8. Piero, C; Bonan, P et al “Highlights of thirty-year experience of CO2 laser use at
   the Florence (Italy) department of dermatology. Scientific World J. 2012; 1-119.
9. Martins C, Bartola E. Brooke-Spiegler syndrome: treatment of cylindromas with
   CO2 laser. Dermatol Surg. 2000; 26:877-80.
10. Allende I; Truchuelo MT; Alcántara J; Boixeda P. Carbon dioxide-laser treatment
    of trichoepitheliomas in brooke-spiegler syndrome. Actas Dermosifiliogr. 2011;
    102(1):76-7.

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