Eruptive vellus hair cyst

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Eruptive vellus hair cyst
Eruptive vellus hair cyst presenting as asymptomatic follicular papules-Mid dermal cyst lined by flattened squamous epithelium
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Eruptive vellus hair cysts (or EVHC) are small lesions that occur most often in the chest wall, abdomen and extremities, often with a crusted surface.[1][2]: 680  EVHC may occur randomly, or it can be inherited as an autosomal dominant trait. The condition affects males and females equally, and sporadic cases usually appear at 4–18 years of age. The cysts appear similar clinically to steatocystoma multiplex, as well as acneiform eruptions and milia. Therapeutic techniques that are safe and effective are rare, with incision and drainage being the primary form of treatment when sporadic regression does not occur.[3] It was first described in 1977.[4]

Signs and symptoms

The clinical presentation of Eruptive vellus hair cyst is round, dome-shaped, skin-colored, soft papules with smooth surface[5]


Histopathology is the basis of diagnosis. Stratified-squamous epithelium with a granular layer that surrounding a cystic space filled with laminated keratin and a variable number of vellus hair cysts is seen to be present.[4] It can be difficult to distinguish from other skin conditions, including molluscum contagiosum and acne vulgaris but can be corroborated with histopathology.[6]


It can be associated with Steatocystoma multiplex.[4]


The primary indication for treatment is cosmesis. Retinoids, surgery, and lasers are used as treatment modalities.[4]

See also


  1. Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. p. 1685. ISBN 1-4160-2999-0.
  2. James, William D.; Berger, Timothy G.; et al. (2006). Andrews' Diseases of the Skin: Clinical Dermatology. Saunders Elsevier. ISBN 0-7216-2921-0.
  3. Baums K, Blume-Peytavi U, Dippel E, Goerdt S, Orfanos CE (August 2000). "Guess what! Eruptive vellus hair cysts". Eur J Dermatol. 10 (6): 487–9. PMID 10980478. Archived from the original on 2022-02-15. Retrieved 2009-03-17.
  4. 4.0 4.1 4.2 4.3 Patel, U; Terushkin, V; Fischer, M; Kamino, H; Patel, R (Dec 15, 2012). "Eruptive vellus hair cysts". Dermatology Online Journal. 18 (12): 7. PMID 23286797.
  5. Torchia, Daniele; Vega, Janelle; Schachner, Lawrence A. (1 February 2012). "Eruptive vellus hair cysts: a systematic review". American Journal of Clinical Dermatology. 13 (1): 19–28. doi:10.2165/11589050-000000000-00000. ISSN 1179-1888. Archived from the original on 15 February 2022. Retrieved 15 February 2022.
  6. Alfaro-Castellón, Patricia; Mejía-Rodríguez, Silvia Anett; Valencia-Herrera, Adriana; Ramírez, Susana; Mena-Cedillos, Carlos (1 November 2012). "Dermoscopy Distinction of Eruptive Vellus Hair Cysts with Molluscum Contagiosum and Acne Lesions". Pediatric Dermatology. 29 (6): 772–773. doi:10.1111/j.1525-1470.2012.01771.x. PMID 22639880.

Further reading