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Sebaceous horn- A forgotten entity

  • Pon Rachel Vedamanickam
    • Baptist Christian Hospital, No 9, 10th East main road, Gandhi Nagar, Vellore, 632006, India
  • Corresponding Author(s): Pon Rachel Vedamanickam

  • Baptist Christian Hospital, No 9, 10th East main road, Gandhi Nagar, Vellore, 632006, India

  • rachel15987@gmail.com

  • +91- 9443-338-492

  • Vedamanickam PR (2019).

  • This Article is distributed under the terms of Creative Commons Attribution 4.0 International License

Received : Jul 02, 2019
Accepted : Sep 10, 2019
Published Online : Sep 16, 2019
Journal : Journal of Clinical Images
Publisher : MedDocs Publishers LLC
Online edition : http://meddocsonline.org

Cite this article: Vedamanickam PR. Sebaceous horn- A forgotten entity. J Clin Images. 2019; 2(1): 1011.

Clinical Image

Description

      Mrs. S, 65-year-old female, presented with painlessly progressive lesion in the left upper arm over 20 years. She had started having pain over the lesion for one week. Since it had not been symptomatic thus far, she had not consulted a doctor and had come now due to the pain. Examination showed a classic sebaceous horn (7x2 cm jard lesion arising from a 3x2 cm firm lump in the subcutaneous plane of the left upper arm) with areas of infection.

Figure 1: Sebaceous horn.

      Sebaceous horn, though described as early as 1588, is a relatively uncommon lesion presenting in the clinic due to advancement of healthcare. The horn is composed of compacted keratin arising from a long standing sebaceous cyst ass in our patient or due to other cutaneous lesions, such as keratosis, verruca, bowen’s disease etc.

      The treatment is excision and biopsy to rule out an underlying malignancy.

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