http://www.fpnotebook.com/

Sebaceous HyperplasiaAka: Senile Hyperplasia, Senile Sebaceous Hyperplasia

Epidemiology
1. Onset in middle age
2. Rarely occurs at Puberty in familial forms
Pathophysiology
1. Composed of mature Sebaceous Glands with dilated duct
Causes
1. Most cases idiopathic with aging
2. Cyclosporine
3. Hemodialysis
Signs
1. Characteristics
  1. Yellow color
  2. Soft, dome-shaped Papules
  3. May be centrally umbilicated
  4. Usually 2-4 mm in size
2. Distribution
  1. Forehead, Cheeks, Nose
  2. Vulva
Differential Diagnosis
1. Basal Cell Carcinoma
Management
1. Biopsy if suspect Basal Cell Carcinoma
2. Cosmetic removal
  1. Electrodesiccation
  2. Laser
  3. Topical bichloracetic acid
  4. Avoid curettage due to scarring
  5. Multiple lesions have been treated with Accutane
References
1. Habif (1996) Dermatology, Mosby, p. 646-7
2. Luba (2003) Am Fam Physician 64(3):729

Navigation Tree

Please see the Terms and Conditions. Please also see the privacy statement regarding advertising on this page. Although access to this page is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians.

This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.