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KMID : 0363220150530050392
Korean Journal of Dermatology
2015 Volume.53 No. 5 p.392 ~ p.395
A Case of Solitary Bullous Mastocytoma Occurring at a Site of Spinal Tap
Choi Seung-Hwan

Kim Tae-Hoon
Ha Seung-Min
Ko Dong-Yeob
Song Ki-Hoon
Kim Ki-Ho
Abstract
Mastocytosis is characterized by an accumulation of mast cells in various organs, most frequently in the skin. A solitary mastocytoma is a clinical variant of cutaneous mastocytosis. It is defined as a localized collection of mast cells in the skin without evidence of extracutaneous organ involvement. Here we report on a 2-year-old female patient presenting with Solitary erythematous bulla on her lower back. The patient had a history of spinal tap on the lower back for evaluation of meningitis at 5 months of age, which resulted in trauma at the site. Histopathology showed mast cells infiltrating the papillary and reticular dermis and metachromatic purple cytoplasmic granules seen with Giemsa staining. As a result, the patient was diagnosed with a solitary bullous mastocytoma and administered antihistamine. The patient showed complete remission at 3 months. Herein, we report a rare case of solitary bullous mastocytoma occurring at a trauma site.
KEYWORD
Mastocytoma , Spinal tap , Trauma
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