Cutaneous Horn of the Eyelid in a 4-Year-Old Child

 

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Introduction

Cutaneous horn or cornu cutaneum is an unspecific term used for the clinical description of horn-like protrusions consisting of keratin-like material [1]. A cutaneous horn is an uncommon neoplastic clinical sign mainly affecting elder caucasians on sun-exposed skin areas. A variety of different malignant, premalignant, and benign pathologies may lead to the development of a cutaneous horn. Horns should be differentiated by a pathohistological examination of basal tissue of the protrusion [1]. A cutaneous horn seems to be an extremely rare clinical finding in children. Only four cases have been documented in literature [2] [3] [4] [5]. Three of these were localized on the eyelids [2] [3] [4]. Here we report on the fourth case of a cutaneous horn on the eyelid of a child and present the second histopathological description of this clinical entity so far.

References

• 1 Yu R C, Pryce D W, Macfarlaine A W. et al . A histopathological study of 643 cutaneous horns.  Br J Dermatol. 1991;  124 449-452
  Google Scholar
• 2 Shaw H L. Case of cutaneous horn of the eyelid.  The Boston Med Surg J. 1869;  3 17-18
  Google Scholar
• 3 Ferry A P. Subepidermal calcified nodules of the eyelid.  Am J Ophthalmol. 1990;  15 85-88
  Google Scholar
• 4 Souza L N, Martins C R, Paula A M. Cutaneous horn occurring on the lip of a child.  Int J Paedriatr Dent. 2003;  13 365-367
  Google Scholar
• 5 Thappa D M, Laxmisha de C. Cutaneous Horn of Eyelid.  Indian Pediatr. 2004;  41 195
  Google Scholar
• 6 Talan-Hranilović J, Cajkovac V, Gregurek-Novak T. et al . Frequency of skin cancer and other ultraviolet radiation provoked skin lesions of eyelid and periocular region in the 1981 – 1992 period.  Acta Med Croatia. 1996;  50 29-32
  Google Scholar
• 7 Mencia-Gutiérrez E, Gutiérrez-Diaz E, Rendonde-Marcos I. et al . Cutaneous horns of the eyelid: a clinicopathological study of 48 cases.  J Cutan Pathol. 2004;  31 539-543
  Google Scholar
• 8 Mickelson H E. Granuloma pyogenicum.  Arch Dermatol Syphil. 1925;  12 492-494
  Google Scholar
• 9 Findlay R F, Lapins N A. Pyogenic granuloma simulating a cutaneous horn.  Cutis. 1983;  31 610-612
  Google Scholar
• 10 Wang C, Wang W, Lei Y. et al . Multiple huge cutaneous horns overlying verrucae vulgaris induced by human papillomavirus type 2: a case report.  Br J Dermatol. 2007;  156 748-791
  Google Scholar

Prof. Dr. Heinrich Gerding, FEBO

Klinik Pallas

Louis Giroud-Str. 20

CH-4600 Olten

Switzerland

Email: azol@klinik-pallas.ch