By Gary M. White, MD
Multiple clear, bluish papules about the eyes.
Multiple clear fluid-filled cysts on the face, especially about the eyes, which become more prominent after periods of heat and sweating are characteristic. Middle to older-aged women seem to be most commonly affected. A solitary type may also occur.
No treatment is needed. For multiple, very bothersome lesions, atropine 2% BID in petrolatum and 0.01% scopolamine cream (1.2 mL of 0.25% scopolamine eyedrops in 30 g of emollient cream) applied topically once daily have been used. Oral glycopyrrolate or oxybutynin have been used with success [Dermatol Ther. 2015 May;28(3):107-9]. Destructive modalities used have included laser, electrodessication and cryotherapy [Clin Exp Dermatol. 2014 Dec;39(8):908-10]. Botox injection has also been employed.
A solitary lesion on the cheek. Drained clear fluid when punctured.
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