Atheroma: Laporan Kasus

Authors

  • Yolanda Agtari yolanda.200610056@mhs.unimal.ac.id
  • Wizar Putri Mellaratna Rumah Sakit Umum Daerah Cut Meutia

DOI:

https://doi.org/10.31539/6dn51h77

Abstract

This case report aims to describe the clinical features, management, and therapeutic outcomes of a patient with multiple atheromas. The method used was a case report of a 23-year-old male who presented to the Dermatology and Venereology Outpatient Clinic of RSUD Cut Meutia with multiple nodules on the back and a dome-shaped cyst on the right auricle that had been present for approximately nine years. The results showed that the lesions were initially asymptomatic but progressively enlarged and occasionally discharged a foul-smelling yellowish fluid, indicating secondary infection. Physical examination revealed skin-colored nodules with firm consistency and a central punctum on the auricle, as well as several papules and nodules on the back. The diagnosis was established as atheroma, with differential diagnoses including epidermoid cyst, lipoma, and steatocystoma. Management included oral antibiotics, antihistamines, topical fusidic acid antibiotics, supportive therapy, followed by planned complete surgical excision. In conclusion, accurate diagnosis and adequate surgical excision resulted in favorable clinical outcomes and are essential in preventing recurrence and complications of atheroma.

 

Keywords: Atheroma, Epidermal Inclusion Cyst, Epidermoid Cyst, Secondary Infection, Surgical Excision

References

Abdullah, A. M., Omar, S. S., Qadir, A. A., Salih, A. M., Pshtiwan, L. R. A., Ahmed, R. S., Ali, R. M., Baba, H. O., Mohammed, R. O., Ali, H. O., & Kakamad, F. H. (2024). Epidermal inclusion cyst in an axillary lymph node with breast cancer: A case report. Molecular and Clinical Oncology, 21(4), 4–7. https://doi.org/10.3892/mco.2024.2769

Barungi, S., Hernández-Camarero, P., Moreno-Terribas, G., Villalba-Montoro, R., Marchal, J. A., López-Ruiz, E., & Perán, M. (2023). Clinical implications of inflammation in atheroma formation and novel therapies in cardiovascular diseases. Frontiers in Cell and Developmental Biology, 11, 1–14. https://doi.org/10.3389/fcell.2023.1148768

Birge, O., Erkan, M. M., & Serin, A. N. (2019). Epidermoid inclusion cyst of the clitoris as a long-term complication of female genital mutilation: A case report. Journal of Medical Case Reports, 13(1), 1–4. https://doi.org/10.1186/s13256-019-2035-6

Bolognia, J., Schaffer, J. V., & Cerroni, L. (2018). Dermatology. Elsevier.

Choi, M. K., & Chung, K. J. (2019). Factors affecting complications after treatment of epidermal cyst. Yeungnam University Journal of Medicine, 36(2), 136–140. https://doi.org/10.12701/yujm.2019.00164

Eryilmaz, R., Bilecik, T., Okan, I., Özkan, O. V., Çoşkun, A., & Şahin, M. (2014). Recurrent squamous cell carcinoma arising in a neglected pilonidal sinus: Report of a case and literature review. International Journal of Clinical and Experimental Medicine, 7(2), 446–450.

Faltaous, A. A., Leigh, E. C., Ray, P., & Wolbert, T. T. (2019). A rare transformation of epidermoid cyst into squamous cell carcinoma: A case report with literature review. American Journal of Case Reports, 20, 1141–1143. https://doi.org/10.12659/AJCR.912828

Hoang, V. T., Trinh, C. T., Nguyen, C. H., Chansomphou, V., & Tran, T. T. T. (2019). Overview of epidermoid cyst. European Journal of Radiology Open, 6, 291–301. https://doi.org/10.1016/j.ejro.2019.08.003

Jeon, S., Lee, S. Y., Kim, J., Jin, U. S., Kwon, S. T., Kwak, Y., & Kim, B. J. (2022). Clinicopathologic features of epidermoid cysts in the upper and lower extremities, including a case of malignant transformation in the palmoplantar region. Archives of Hand and Microsurgery, 27(4), 285–291. https://doi.org/10.12790/ahm.22.0049

Kashkary, S. M., Almutairi, S. F., Alkhars, A. A., AlYaqout, W. A., Alajmi, F. T., Shuwaikhat, H. A. Al, Alkanderi, R. A., Mayouf, H. A., Asiri, S. Y., AlShuria, A. A., & Jawad, Z. A. (2023). Sebaceous gland diseases: Clinical picture, risk factors, and treatment. International Journal of Community Medicine and Public Health, 10(10), 3904–3909. https://doi.org/10.18203/2394-6040.ijcmph20233130

Kim, J. Y., Min, S., Park, J. K. H., & Kim, S. W. (2024). Squamous cell carcinoma arising from epidermal cyst: A case series of 9 patients with a literature review. Annals of Plastic Surgery, 92(5), 575–579. https://doi.org/10.1097/SAP.0000000000003880

Liu, M., Liu, X., Wang, Y., Wang, Z., Tuo, H., Feng, Y., & Zheng, Y. (2023). Epidermal cyst on the scalp induced by forceps injury during delivery: A case report and epidemiological analysis of 3949 patients. Clinical, Cosmetic and Investigational Dermatology, 16, 593–601. https://doi.org/10.2147/CCID.S399372

Mane, B. S., Chavan, R. P., Naikwadi, K. B., & Gavali, R. M. (2023). A case series of dentigerous cyst in paediatric patients at our tertiary institution. Indian Journal of Otolaryngology and Head and Neck Surgery, 75(3), 2444–2452. https://doi.org/10.1007/s12070-023-03782-6

Teo, M. Z. Y., Loo, H. L., Goh, B. H., & Chuah, L. H. (2025). Progress in topical nanoformulations against bacterial skin and soft tissue infections: Current trends. Drug Delivery and Translational Research. https://doi.org/10.1007/s13346-025-01924-7

Vollkommer, T., Henningsen, A., Friedrich, R. E., Felthaus, O. H., Eder, F., Morsczeck, C., Smeets, R., Gehmert, S., & Gosau, M. (2019). Extent of inflammation and foreign body reaction to porous polyethylene in vitro and in vivo. In Vivo, 33(2), 337–347. https://doi.org/10.21873/invivo.11479

Weiner, N., Niv, Y., & Sharon, E. (2025). Effect of re-excision on local recurrence in patients with involved or close margins after upfront breast-conserving surgery: A systematic review and meta-analysis. World Journal of Surgical Oncology, 23(1). https://doi.org/10.1186/s12957-025-03811-4

Wollina, U., Langner, D., Tchernev, G., França, K., & Lotti, T. (2018). Epidermoid cysts: A wide spectrum of clinical presentation and successful treatment by surgery. Open Access Macedonian Journal of Medical Sciences, 6(1), 28–30. https://doi.org/10.3889/oamjms.2018.027

Yang, K., Shi, M., Fu, C., & Huo, R. (2022). Comprehensive treatment of severe follicular occlusion triad: A case report. Clinical, Cosmetic and Investigational Dermatology, 15, 541–546. https://doi.org/10.2147/CCID.S351522

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Published

2025-12-31