September/October 2016
ORIGINAL CONTRIBUTION
Figure 3. Two asymptomatic dome-shaped, pearly papules with central umbilication surrounded by a hypopigmented rim present over the anterior aspect of the right forearm in an adult woman. (These are better appreciated while looking from a distance.)
Figure 1. Typical molluscum lesions in the neck region of an adult woman showing typical Woronoff ring.
Investigations did not suggest diabetes, HIV, or any other systemic illness. There was no history of application of topical steroids or other topical or systemic medications. Treatment involved curettage, and the clinical diagnosis of MC was confirmed histopathologically by examination of the extruded material. There was complete resolution and no recurrence at 6 months’ followup. The ring, however, had slowly faded in 4 weeks. Case 3
Figure 2. Histopathology of the same patient as in Figure 1 showing characteristic intracytoplasmic bodies that compress the keratinocyte nucleus (hematoxylin and eosin stain, original magnification ×4). Inset: Close-up view of the same characteristic Henderson-Paterson bodies (hematoxylin and eosin stain, 10×10). SKINmed. 2016;14:349–352
A 5-year-old boy with a nonatopic background presented with dome-shaped, pearly papules on the face that slowly increased in number during the past 6 weeks and affected both sides of the malar areas of the face, nose, right upper scapular region of the back, and the flexor surface of the right forearm. The two earliest lesions on the left malar area of the face showed spontaneous typical WRs (Figure 4). No treatment was sought for the eruptions, including prescribed medications or over-the-counter and home remedies. He was otherwise healthy. Results from investigations for complete blood cell count, blood sugar, and HIV antibodies were in the normal range. Skin biopsy was declined by the parents. Topical cantharidin therapy was administered at the consultation, but the patient was lost to follow-up.
350
Woronoff Ring