Korean J Dermatol.  2025 Mar;63(2):48-51.

A Case of Miliary Osteoma Cutis in a Young Male

Affiliations
  • 1Department of Dermatology, Pusan National University School of Medicine, Busan, Korea
  • 2Department of Dermatology, Pusan National University Yangsan Hospital, Yangsan, Korea
  • 3Biomedical Research Institution, Pusan National University Hospital, Busan, Korea
  • 4Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital , Yangsan, Korea

Abstract

A 34-year-old male with acne was presented with a 1-year history of multiple tiny subcutaneous nodules on his face, particularly on both cheeks. Physical examination revealed asymptomatic, palpable, and hard nodules with an acne scar. The skin lesions were more obvious when the cheeks were inflated. A skin biopsy revealed multiple focal bony trabeculae with osteoblasts in the dermis. A diagnosis of multiple miliary osteomas cutis was done. Multiple miliary osteoma cutis is a rare benign extraskeletal ossification that is considered relatively common and under-reported because of its asymptomatic behavior. Osteoma cutis is generally observed in middle-aged females with a history of acne. Male involvement rarely occurs, especially at a young age, as observed in this patient. Topical retinoids were prescribed, but the lesions did not abate at 3 months follow-up.

Keyword

Acne scar; Acne vulgaris; Miliary osteoma cutis; Osteoma cutis
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