Fibroma perifollicular D23.9

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Perifollicular fibromas

History
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Zackheim and Pinkus, 1960

Definition
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Rare follicular fibromas, usually occurring after perifollicular inflammation, e.g. acne. Perifollicular fibromatosis cutis with colonic polyps.

Etiopathogenesis
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Interpretation on the one hand as a congenital malformation of the connective tissue hair root sheath (perifollicular fibromas can be a partial symptom of Birt-Hogg-Dubé-Syndrome - mutation in the folliculin gene -, on the other hand as fibromatous proliferation of the connective tissue in chronic inflammation. Neurogenic genesis is also discussed (perifollicular neurofibromas)

Localization
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Preferably face (centrofacial), chest, upper back.

Clinical features
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Mostly multiple, whitish yellow or skin-coloured, completely symptom-free, approx. 0.5 cm large, follicularly bound, firm papules. Occasionally cobblestone-like aspect.

Histology
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Cystically dilated hair follicle portions filled with horn material, surrounded by concentric lamellae of collagenous connective tissue. Lack of elastic fibres.

Therapy
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A therapy of benign skin tumors is usually not necessary. Possibly surgical removal of individual lesions by means of curettage or dermabrasion. In view of the syndromal occurrence of perifollicular fibroma and intestinal polyps(Hornstein-Knickenberg syndrome), an endoscopic examination is recommended.

Literature
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  1. Cho S, Hahm JH (1999) Perifollicular fibroma. J Eur Acad Dermatol Venereol 13: 46-49
  2. Drummond C et al (2002) Birt-Hogg-Dube syndrome and multinodular goitre. Australas J Dermatol 43: 301-304
  3. Gotz G, Paul E (2001) Multiple fibrofolliculomas. dermatologist 52: 824-827
  4. Nam JH et al (2011) A case of perifollicular fibroma. AnnDermatol 23:236-238
  5. Schachtschabel AA et al. (1996) Perifollicular fibroma of the skin and colonic polyps: Hornstein-Knickenberg syndrome. dermatologist 47:304-306
  6. Shvartsbeyn M et al (2012) Perifollicular fibroma inBirt-Hogg-Dubé syndrome: an association revisited. J Cutan Pathol 39:675-679
  7. Vakilzadeh F et al (1976) Perifollicular fibroids. Z Hautkr 51: 1039-1041
  8. Zackheim HS, Pinkus H (1960) Perifollicular fibromas. Arch Dermatol 82: 913-917

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Last updated on: 29.10.2020