Sebaceous hyperplasia is a common benign lesion of the sebaceous gland.
This lesion has been seen in heart transplant and bone marrow recipients
& is probably due to the effects of Cyclosporine.
Clinical presentation:
Solitary or multiple yellowish, umbilicated
papules (1 to 3 mm in diameter) .
Usually occurs in
middle aged patients , but cases have been reported in younger
individuals.
Juxtaclavicular beaded
line - variant of sebaceous hyperplasia characterized by papules
arranged in parallel rows resembling 'strands of beads'.
Site:
Face, forehead, chest, areola,
mouth, vulva etc.
Microscopic features:
Images:
1
2

Histology shows separate hyperplastic sebaceous glands ; mature sebaceous lobules connect to
dilated central sebaceous duct ; essentially normal cytological
appearance.
Lobules consist of :
(i) Basaloid or cuboidal cells without lipid droplets. (ii) Layers
of mature sebocytes with abundant lipid and scalloped nuclei.
Differential
diagnosis:
Nevus sebaceus
(lobules are aberrant, ducts open into the epidermis, there is epidermal
hyperplasia and in some cases apocrine glands)
Rhinophyma (sebaceous glands are not as well defined and grouped as in
sebaceous hyperplasia).
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