손가락에 발생한 고립성 교원종

A Case of Isolated Collagenoma on the Finger

  • 윤영묵 (충남대학교 의과대학 성형외과학교실) ;
  • 강낙헌 (충남대학교 의과대학 성형외과학교실) ;
  • 서광선 (충남대학교 의과대학 병리학교실)
  • Yun, Young Mook (Department of Plastic and Reconstructive Surgery, College of Medicine, Chungnam National University) ;
  • Kang, Nak Heon (Department of Plastic and Reconstructive Surgery, College of Medicine, Chungnam National University) ;
  • Suh, Kwang Sun (Department of Pathology, College of Medicine, Chungnam National University)
  • 투고 : 2008.02.25
  • 발행 : 2008.05.10

초록

Purpose: Collagenoma is an intradermal harmatomatous collagen proliferation among connective tissue nevi of the skin. Although there are some reports of isolated collagenomas that occurred on the sole and the palm, collagenoms at the finger has not been reported in Korea. Methods: An 11-year-old girl presented with a growing mass on the distal interphalangeal joint of the left 5th finger. It was a skin-colored, oval and mild tender mass. There were no associated cutaneous or systemic abnormal findings. Results: The nodule, at the subcutaneous level on the distal phalanx, was completely removed by excision. Grossly it was covered with normal skin, and its surface was smooth having a definite margin with a size of $1.5{\times}1.2cm$. Histopathological examination, the epidermis showed to be normal, increased thickness of collagens arranged with a whirl formation was found in the dermis. No signs of cellular component increase were observed. Conclusion: Isolated collagenoma can be aroused as a solitary nodule in at any place of the body. We report a rare case of a female patient with an isolated finger collagenoma.

키워드

참고문헌

  1. Pierard GE, Lapiere CM: Nevi of connective tissue. A reappraisal of their classification. Am J Dermatopathol 7: 325, 1985 https://doi.org/10.1097/00000372-198508000-00003
  2. Uitto J, Santa Cruz DJ, Eisen AZ: Connective tissue nevi of the skin. Clinical, genetic, and histopathologic classification of hamartomas of the collagen, elastin, and proteoglycan type. J Am Acad Dermatol 3: 441, 1980 https://doi.org/10.1016/S0190-9622(80)80106-X
  3. Kang H, Jung EC, Lee AY, Song KY: A Case of Isolated Plantar Collagenoma. Korean J Dermatol 43: 78, 2005
  4. Lee SM, Kang WH, Lee SH: A case of connective tissue nevi; elastocollagenoma compared with elastofibroma. Ann Dermatol 6: 230, 1994 https://doi.org/10.5021/ad.1994.6.2.230
  5. McClung AA, Blumberg MA, Huttenbach Y, Colome- Grimmer MI, Raimer SS: Development of collagenomas during pregnancy. J Am Acad Dermatol 53: S150, 2005 https://doi.org/10.1016/j.jaad.2005.01.003
  6. Viljoen DL, Saxe N, Temple-Camp C: Cutaneous manifestations of the Proteus syndrome. Pediatr Dermatol 5: 14, 1988 https://doi.org/10.1111/j.1525-1470.1988.tb00878.x