Photoclinic Diagnosis: Apocrine Hydrocystoma

A32-year-old woman presented with a one- year history of asymptomatic cystic lesions around her eyes. She had no other complaints or history of major illnesses and had not taken any medications. To the best of her knowledge, nobody in her family had a similar dermatologic condition. Physical examination revealed numerous tense translucent cystic nodules, some as large as 8 mm in diameter, on the periorbital areas (Figure A). A skin biopsy specimen was obtained from one of the lesions (Figures B and C).