Glabellar Pomade Crust Mimicking Dyskeratosis Follicularis
March 2006
in “
Journal of Cosmetic Dermatology
”
Studysummary This case report describes a 79-year-old woman whose skin lesions were attributed to a cosmetic product, with complete resolution following mechanical removal of material and metronidazole treatment.
Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
A 79-year-old female patient presented with a hyperpigmented, crusting, and itching lesion on her forehead that resembled dyskeratosis follicularis Darier. She had no history of skin disease. Examination and biopsy revealed epidermal acanthosis and enlarged follicle ostia with foreign material. The patient had been using an ointment and had a cosmetic treatment with an unspecified powder. The diagnosis of pomade crust was confirmed. Mechanical enucleation of the follicular material and treatment with metronidazole cream led to complete resolution of the lesions.