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En coup de sabre.

Virendra N Sehgal1, Govind Srivastava, Promila Bajaj

  • 1Dermato-Venereology (Skin/VD) Centre, Sehgal Nursing Home, Panchwati, Azadpur, Delhi, India. drsehgal@ndf.vsnl.net.in

International Journal of Dermatology
|September 5, 2002
PubMed
Summary

This case study details a progressive, unilateral facial condition presenting as a furrow, leading to eye pain and eventual enucleation. Histopathology revealed significant dermal changes, suggesting a rare connective tissue disorder.

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Area of Science:

  • Dermatology
  • Pathology
  • Ophthalmology

Background:

  • A male patient developed a unilateral forehead lesion in 1986.
  • The lesion progressed over five years, causing facial disfigurement and eye pain.

Observation:

  • A linear, atrophic furrow on the right forehead with taut, bound-down skin.
  • Histological examination showed marked dermal thickening, hypertrophied collagen, and vascular changes.
  • Pilosebaceous units were absent, with atrophic sweat glands and epidermal atrophy.

Findings:

  • The histopathological findings indicate a significant connective tissue alteration.
  • Vascular changes included lumen narrowing and wall thickening.
  • Absence of pilosebaceous units and atrophy of sweat glands and epidermis were noted.

Implications:

  • This case highlights a rare, progressive dermatological condition with potential ocular complications.
  • Accurate diagnosis and understanding of the underlying pathology are crucial for patient management.
  • Further research into similar presentations may elucidate the etiology of this disfiguring condition.

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