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Picture of the Month—Quiz Case

Picture of the Month—Quiz Case A previously healthy 14-year-old girl had a large but asymptomatic lesion on the left lower eyelid margin (Figure 1A). She had first noted a small papule that gradually and progressively grew over 5 months. She also noticed that the lesion had grown after minor trauma. On physical examination, the lower eyelid lesion was a firm, pink, 28 × 19 × 15-mm nodule with central ulceration and crust. The remainder of the skin examination results were normal. Figure 1. View LargeDownload Nodules involving eyelids. A, Patient 1, a 14-year-old girl, with a large ulcerated nodule involving the left lower eyelid. B, Patient 2, a 10-year-old boy, with an inflamed nodule involving the left upper eyelid. An otherwise healthy 10-year-old boy had a large and growing asymptomatic lesion on the left upper eyelid (Figure 1B). He had noted a small, bluish papule 2 months previously; the lesion had grown following trauma when he was hit in the ipsilateral eye by a dodgeball. On physical examination, the upper eyelid lesion was a firm, pink, 25 × 12 × 6-mm nodule with overlying telangiectasias. He had smaller but similar-appearing lesions on his right foot and left upper arm. The remainder of the skin examination results were normal. What is your diagnosis? http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Pediatrics & Adolescent Medicine American Medical Association

Picture of the Month—Quiz Case

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Picture of the Month—Quiz Case

Abstract

A previously healthy 14-year-old girl had a large but asymptomatic lesion on the left lower eyelid margin (Figure 1A). She had first noted a small papule that gradually and progressively grew over 5 months. She also noticed that the lesion had grown after minor trauma. On physical examination, the lower eyelid lesion was a firm, pink, 28 × 19 × 15-mm nodule with central ulceration and crust. The remainder of the skin examination results were normal. Figure 1. View LargeDownload...
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Publisher
American Medical Association
Copyright
Copyright © 2009 American Medical Association. All Rights Reserved.
ISSN
1072-4710
eISSN
1538-3628
DOI
10.1001/archpediatrics.2009.163-a
Publisher site
See Article on Publisher Site

Abstract

A previously healthy 14-year-old girl had a large but asymptomatic lesion on the left lower eyelid margin (Figure 1A). She had first noted a small papule that gradually and progressively grew over 5 months. She also noticed that the lesion had grown after minor trauma. On physical examination, the lower eyelid lesion was a firm, pink, 28 × 19 × 15-mm nodule with central ulceration and crust. The remainder of the skin examination results were normal. Figure 1. View LargeDownload Nodules involving eyelids. A, Patient 1, a 14-year-old girl, with a large ulcerated nodule involving the left lower eyelid. B, Patient 2, a 10-year-old boy, with an inflamed nodule involving the left upper eyelid. An otherwise healthy 10-year-old boy had a large and growing asymptomatic lesion on the left upper eyelid (Figure 1B). He had noted a small, bluish papule 2 months previously; the lesion had grown following trauma when he was hit in the ipsilateral eye by a dodgeball. On physical examination, the upper eyelid lesion was a firm, pink, 25 × 12 × 6-mm nodule with overlying telangiectasias. He had smaller but similar-appearing lesions on his right foot and left upper arm. The remainder of the skin examination results were normal. What is your diagnosis?

Journal

Archives of Pediatrics & Adolescent Medicine – American Medical Association

Published: Oct 5, 2009

Keywords: physical examination,ulcer,eyelid,telangiectasis,wounds and injuries,papule,examination of skin,scab,eye,foot,eyelid margin

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