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Progressive Diffuse Papules in a Child—Quiz Case

Progressive Diffuse Papules in a Child—Quiz Case Report of a case A healthy 14-year-old boy with no prior medical problems developed a pale, firm umbilicated papule with a central crust on his left cheek. Thelesion remained unchanged for 1 year. However, over the next 6 months, numerous firm, skin-colored to violaceous umbilicated papules developed over the patient'sentire face (Figure 1). Collections of new papules simultaneously appeared, some in an annular pattern, on thesubmental area (Figure 2), upper part of the back, nape, extensor surface of the left forearm, knees, and distalaspect of the lower extremities. A biopsy specimen was obtained from a lesion on the lower left cheek area (Figure 3 and Figure 4). Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. View LargeDownload Figure 4. View LargeDownload What is your diagnosis? http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Progressive Diffuse Papules in a Child—Quiz Case

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Progressive Diffuse Papules in a Child—Quiz Case

Abstract

Report of a case A healthy 14-year-old boy with no prior medical problems developed a pale, firm umbilicated papule with a central crust on his left cheek. Thelesion remained unchanged for 1 year. However, over the next 6 months, numerous firm, skin-colored to violaceous umbilicated papules developed over the patient'sentire face (Figure 1). Collections of new papules simultaneously appeared, some in an annular pattern, on thesubmental area (Figure 2), upper part of the back, nape,...
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Publisher
American Medical Association
Copyright
Copyright © 2004 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.140.7.877-g
Publisher site
See Article on Publisher Site

Abstract

Report of a case A healthy 14-year-old boy with no prior medical problems developed a pale, firm umbilicated papule with a central crust on his left cheek. Thelesion remained unchanged for 1 year. However, over the next 6 months, numerous firm, skin-colored to violaceous umbilicated papules developed over the patient'sentire face (Figure 1). Collections of new papules simultaneously appeared, some in an annular pattern, on thesubmental area (Figure 2), upper part of the back, nape, extensor surface of the left forearm, knees, and distalaspect of the lower extremities. A biopsy specimen was obtained from a lesion on the lower left cheek area (Figure 3 and Figure 4). Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. View LargeDownload Figure 4. View LargeDownload What is your diagnosis?

Journal

Archives of Dermatology – American Medical Association

Published: Jul 1, 2004

Keywords: child,papule

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