DefinitionThis section has been translated automatically.
Special form of a soft fibroma of the skin. No real tumours, but circumscribed skin protuberances, which occur in age-involuted skin in relation to their localisation.
Occurrence/EpidemiologyThis section has been translated automatically.
Occurs in almost everyone after the age of 40.
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ManifestationThis section has been translated automatically.
Occurs in middle and old age, often in obese patients. There is a high association (26%) between muliple axillary fibroma (skin tags) and insulin-resistant diabetes mellitus (Bustan RS et al. 2017).
LocalizationThis section has been translated automatically.
Neck and intertriginous spaces, especially axillae and groins.
Clinical featuresThis section has been translated automatically.
Solitary or, more frequently, multiple, approximately 0.1 - 0.5 cm (or larger), skin-coloured, red or reddish-brown, soft skin polyps, which usually sit on the skin in a narrow base. They consist of connective tissue with variable epidermal, melanocytic, vascular or lipogenic involvement. If the surface is more strongly keratinized (e.g. in the case of permanent mechanical irritation), these fibromas are called "Fibrokeratoma Unna".
HistologyThis section has been translated automatically.
Polypoid growth with a loosened connective tissue stromas, dilated blood and lymph vessels, an overlapping, often slightly acanthotic, otherwise normal epidermis. In mechanically errant fibroma, the surface epithelium may show increased pigmentation.
TherapyThis section has been translated automatically.
Excision with scalpel or scissors if necessary. Caution: After removal of the fibroma, especially in the case of larger fibroma, prolonged bleeding may occur.
LiteratureThis section has been translated automatically.
- Bustan RS et al (2017) Specific skin signs as a cutaneous marker of diabetes mellitus and theprediabetic
state - a systematic review. Dan Med J 64: A5316.
- Garcia Hidalgo L (2002) Dermatological complications of obesity. Am J Clin Dermatol 3: 497-506
- Ragunatha S et al(2011) Cutaneous disorders in 500 diabetic patients attending diabetic clinic. Indian J Dermatol 56:160-164
- Sand C (2003) Topical tacrolimus ointment may induce skin tags in treated patients. Acta Derm Venereol 83: 317
- Twomey P (2002) Skin tags and the atherogenic lipid profile. J Clin Pathol 55: 639
Incoming links (7)Acrochordone; Cutaneous tag; Fibroma; Fibroma filiformes; Fibroma soft; Fibropapilloma; Soft fibroma;
Outgoing links (1)Excision;
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