Clinical manifestation

Solitary, round-to-oval, dome-shaped, papule, with normal overlying skin; contains a viscous, gelatinous, clear or yellow-tinged fluid

Dilated pore of Winer 189

Differential diagnosis

Epidermoid cyst; fibrokeratoma; giant-cell tendon sheath tumor; Heberden node; myxoid malignant fibrous histiocytoma; myxoid variant of liposarcoma; rheumatoid nodule; gouty tophus; subcutaneous granuloma annulare

Therapy

Intralesional triamcinolone 3-5 mg per ml; cryotherapy; incision and drainage; destruction by electrodesiccation; surgical

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