Trichostasis spinulosa: case report

A 46-year-old female patient presented to our clinic for itching and ulcers under her breast. On dermatological examination, there were two erythematous, papulonodular lesions 1 cm diameter under the breast and multiple, slightly raised and slightly pigmented follicular lesions (Figure 1). Otherwise her medical and family history was unremarkable. Systemic examination was normal. Her hemogram, urea, creatinine and urine tests were normal. ESR was 26mm/hour and CRP 0.79mg/dl. Fasting blood glucose (155mg/dl), AST (54 U/L), ALT (94 U/L) levels were raised. She was diagnosed as a case of trichostasis spinulosa along with pyoderma.