DermAtlas: Online Dermatology Image Library dermatology image,futcher line,voight line,Ito line,trauma,purpura,geographic tongue,Epstein's pearl,cyst,cyst, epidermal inclusion,cyst, epidermal inclusion,Fordyce spots,normal variant,mongolian spot,pearly penile papules

© 2001-2010, DermAtlas	*Image Name:*	Futchers_line_042809	*File Type:*	jpg
	*Diagnosis:*	FUTCHER LINE / VOIGHT LINE / ITO LINE	*Category:*	normal variants / hyperpigmentation
	*Body Site:*	arm	*Age:*	11 years
	*Contributor:*	Jason Mazzurco, DO
	*Description:*	vertically oriented linear line of demarcation of darker pigmented lateral skin with lighter pigmented medial skin
	*Comments:*	This healthy 11-year-old girl demonstrates a normal line of pigmentary demarcation on the anterior aspect of her upper arm that was noted during early childhood. These symmetric physiologic lesions are also known as Voight lines and Ito lines.

© 2001-2010, DermAtlas	*Image Name:*	chair_purpura_1_080927	*File Type:*	jpg
	*Diagnosis:*	TRAUMA / PURPURA	*Category:*	purpura / environmental injury / comedy / normal variants
	*Body Site:*	abdomen	*Age:*	6 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	round slightly patterned 6 mm papules with surrounding purpura
	*Comments:*	This healthy 6-year-old girl developed these peculiar papules with intervening purpura while waiting for her dermatology appointment. She was found leaning her abdomen against a chair in the waiting room.

© 2001-2010, DermAtlas	*Image Name:*	geographic_tongue_1_080212	*File Type:*	jpg
	*Diagnosis:*	GEOGRAPHIC TONGUE	*Category:*	normal variants / papulosquamous eruptions
	*Body Site:*	tongue	*Age:*	5 months
	*Contributor:*	Katherine Puttgen, MD
	*Description:*	geographic plaques involving anterior and posterior tongue
	*Comments:*	This healthy 5 month old had a 2 month history of this asymptomatic appearance of the tongue.

© 2001-2010, DermAtlas	*Image Name:*	epsteinpearl_1_080317	*File Type:*	jpg
	*Diagnosis:*	EPSTEIN'S PEARL / CYST / CYST, EPIDERMAL INCLUSION	*Category:*	cysts / dental/oral disorder / normal variants / neonatal dermatology
	*Body Site:*	mouth / palate, hard	*Age:*	3 days
	*Contributor:*	Katherine Puttgen, MD
	*Description:*	2 mm white papules
	*Comments:*	This newborn had two intact small white cysts noted incidentally on examination.
	*Related Images:*	epsteinpearl_2_080317

© 2001-2010, DermAtlas	*Image Name:*	epsteinpearl_2_080317	*File Type:*	jpg
	*Diagnosis:*	EPSTEIN'S PEARL / CYST / CYST, EPIDERMAL INCLUSION	*Category:*	cysts / dental/oral disorder / normal variants / neonatal dermatology
	*Body Site:*	mouth / palate, hard	*Age:*	3 days
	*Contributor:*	Katherine Puttgen, MD
	*Description:*	2 mm white papules
	*Comments:*	This newborn had two intact small white cysts noted incidentally on examination.
	*Related Images:*	epsteinpearl_1_080317

© 2001-2010, DermAtlas	*Image Name:*	Fordyce_spots_1_080318	*File Type:*	jpg
	*Diagnosis:*	FORDYCE SPOTS / NORMAL VARIANT	*Category:*	normal variants
	*Body Site:*	penis / genital	*Age:*	25 years
	*Contributor:*	Ashish Pimpley
	*Description:*	multiple clustered 2 mm papules
	*Comments:*	This 25-year-old man developed multiple asymptomatic 2 mm papules on the shaft of the penis typical of ectopic sebaceous glands known as Fordyce spots.

© 2001-2010, DermAtlas	*Image Name:*	fordyce_spots_1_070501	*File Type:*	jpg
	*Diagnosis:*	FORDYCE SPOTS	*Category:*	normal variants / lumps & bumps (plaques, nodules, tumors)
	*Body Site:*	vulva (labia)	*Age:*	48 years
	*Contributor:*	Greg Hosler, MD, PhD
	*Description:*	Within the submucosa, there are numerous sebaceous glands, forming papules. These glands show mild hyperplasia and some directly connect to the overlying mucosal surface. There is no cytologic atypia.
	*Comments:*	This biopsy was submitted from a 48-year-old Asian female's labia. Fordyce spots are considered a normal physiologic variant and represent sebaceous glands, or sebaceous gland hyperplasia, in mucosal sites, i.e. oral cavity, vulva. They often present as yellow clustered papules and are not commonly biopsied. This case shows the typical histology. There are numerous sebaceous glands, some directly connecting to the mucosal surface.

© 2001-2010, DermAtlas	*Image Name:*	Mongolian_Spot_1_070127	*File Type:*	jpg
	*Diagnosis:*	MONGOLIAN SPOT	*Category:*	normal variants / neonatal dermatology
	*Body Site:*	wrist / arm	*Age:*	2 weeks
	*Contributor:*	G Alonso
	*Description:*	well demarcated 0.75 cm X 2 cm blue-green patch
	*Comments:*	This 2-week-old boy demonstrates a Mongolian spot on his wrist at a routine health check-up. He had similar lesions on his buttocks. The case was prepared by pediatric resident at the University of Missisippi Medical Center Dr. Eric Street.

© 2001-2010, DermAtlas	*Image Name:*	geographic_tongue_1_070127	*File Type:*	jpg
	*Diagnosis:*	GEOGRAPHIC TONGUE	*Category:*	normal variants / dental/oral disorder
	*Body Site:*	tongue, dorsal surface	*Age:*	5 years
	*Contributor:*	Will Sorey, MD
	*Description:*	irregular well demarcated pink atrophic patch
	*Comments:*	These irregular atrophic pink patches on the dorsum of the tongue was an incidental finding in this healthy 5-year-old boy during a routing health check. The case was prepared by third year medical student from the University of Mississippi School of Medicine Jami Lewis.

© 2001-2010, DermAtlas	*Image Name:*	Pearly_Penile_Papules_1_050125	*File Type:*	jpg
	*Diagnosis:*	PEARLY PENILE PAPULES	*Category:*	normal variants / papulosquamous eruptions / urology
	*Body Site:*	penis / genital	*Age:*	29 years
	*Contributor:*	Sugathan Paramoo, MD, FRCP(Glasg)
	*Description:*	1-3 mm spiny papules
	*Comments:*	This 29-year-old man was evaluated for an asymptomatic eruption on the corona of the glans penis. He was worried that the finding would disqualify him during a pre-employment physical examination.