Eruptive Grzybowski-type keratoacanthoma is a rare variant of multiple
keratoacanthoma and is not accompanied by internal malignancies. Up t
o now only 16 cases of eruptive Grzybowski-type keratoacanthoma have b
een described in the literature. Eruptive axid solitary keratoacanthom
as cannot be distinguished histologically. The multiplicity of skin le
sions may be due to a genetic background. Our patient presented with m
ultiple eruptive keratoacanthomas, ectropion and a mask-like face. Con
servative treatment, e.g. with etretinate, did not lead to any improve
ment of symptoms in this case. Therefore surgical therapy was recommen
ded for the patient's ectropion.