ABSTRACT
Pedunculated Dome shape, on surface
Spherical, deep within surface
Round, oval within surface
Flat-topped on surface
Round within surface
Side of neck axilla, inner thighs
Any site Sides of nose Lower eyelids Axillae, central trunk
Neck, trunk Face, dorsum hands
Extensor aspect of limbs,
buttocks, trunk
±Elderly/ obese
+ve family history Café au lait spots
1-4 mm 1-2 mm 2-10 mm asymptomatic
Painful in cold or when knocked
Linear/grouped ↑ blood lipids
SKIN TAGS
NEUROFIBROMAS ANGIOFIBROMA/ TRICHOEPITHELIOMA
SYRINGOMAS STEATOCYSTOMA MULTIPLEX
LEIOMYOMA PLANE WARTS ERUPTIVE XANTHOMA
p. 266 p. 266 p. 267 p. 268 see p. 274 p. 269 p. 268 p. 269
INTRADERMAL NAEVUS This is a skin-coloured melanocytic naevus. All the naevus cells are in the dermis so pigment is no longer seen on the surface (see p. 303). It is a small, round, dome-shaped or papillomatous papule. Occasionally telangiectasia can be seen on the surface, but the lack of growth, long history and symmetrical dome shape distinguish it from a basal cell carcinoma. They are sometimes pedunculated, and can be diffi cult to distinguish from neurofi bromas or skin tags. If necessary they can be removed by shaving them off fl ush with the skin, and cauterising the base with heat or aluminium chloride solution (Driclor, Anhydrol Forte).
