The association of acrochordon
with obesity was studied.
Skin tags or acrochordons
are small, soft, pedunculated, often pigmented lesions, usually occurring in the eyelids, neck and axillae.
The mass was diagnosed as acrochordon
due to its pedunculated attachment, soft consistency and free mobility.
Tissue Diagnosis and Uniformity (a) 1 Breast Benign fibrosis 2.7 2 Breast Phyllodes 2.0 tumor 3 Breast IDCA 3.0 4 Breast Fibroadenoma 3.0 5 Breast Benign fibrosis 2.7 6 Uterus Undiff Ca 2.0 7 Uterus Myoma 3.0 8 Uterus Endomet Ca 3.0 9 Uterus Endomet polyp 2.7 10 Uterus Myoma 2.7 11 Skin SCC 2.0 12 Skin BCC 2.7 13 Skin Keloid 2.3 14 Skin EIC 2.0 15 Skin Acrochordon
2.3 16 Soft tissue Fibromatosis 2.3 17 Colon Adenoca 2.7 18 Colon Adenoca 2.0 19 Colon Adenoca 2.3 20 Colon Adenoma 3.0 21 Colon Adenoca 2.7 Case Architectural Cytologic Stain Overall Diagnostic No.
Patients were examined by a qualified dermatologist (NRD) for cutaneous manifestations like skin complexion (dark or fair), striae, skin tags (acrochordon
), miliaria, acanthosis nigricans, varicose veins, xanthoma and xanthelasma, plantar hyperkeratosis, and intertrigo etc.
A giant acrochordon
though benign may generate anxiety in both clinician and patient in view of possible differential diagnosis.
Other associated cutaneous findings included linear melanocytic nevi, acrochordon
, dermatosis papulosa nigra, pyogenic granuloma, lichen simplex chronicus, milia, comedones, decubitus ulcer, vitiligo, fixed drug eruption, arteriovenous fistula dermatitis, keloid, purpura, gynecomastia, periorbital edema, leg ulcer and idiopathic guttate hypomelanosis.
Reports of acrochordon
over feet are very rare and not reported in literature.
The presence of numerous trichodiscomas, fibrofolliculomas, and acrochordons
are associated with Birt-Hogg-Dube syndrome, an autosomal dominant syndrome associated with pulmonary cysts, spontaneous pneumothorax, and renal cell carcinoma.
When our case first visited the office, the 'polyp' configuration led us to benign-looking differential diagnosis, including pigmented nevus, strangulated fibroepithelial polyps (acrochordons
), or seborrheic keratosis, whereas BCC was not the straightforward consideration.
Cutaneous examination was done to note the various common features of PCOS like acne, hirsutism, seborrhea, acanthosis nigricans, acrochordons
, loss of hair etc.