SECTION EDITOR: MARY S. STONE, MD; ASSISTANT SECTION EDITORS: SOON BAHRAMI, MD; CARRIE ANN R. CUSACK, MD; SENAIT W. DYSON, MD; MOLLY A. HINSHAW, MD; ARNI K. KRISTJANSSON, MD
A 37-year-old woman from Morocco presented with a 10-year history of pruritic facial plaques. The lesions appeared gradually and grew progressively with no previous trauma or scar. The patient did not report a family history of similar lesions. Physical examination showed a 13-mm erythematous annular plaque on the upper lip, with a well-demarcated raised keratotic border and central atrophy (Figure 1). In addition, we observed another 2 small but similar lesions at the right nasal ala (Figure 2). A complete skin examination failed to reveal additional lesions elsewhere. A punch biopsy specimen from the margin of an upper lip lesion was examined microscopically (Figure 3).
Lapresta A, Moya AISÁ, de Miguel R, Ju árez RÍ, Garc ía-Almagro D. Long-term Progression Facial Plaque —Quiz Case. Arch Dermatol. 2011;147(9):1097-1102. doi:10.1001/archdermatol.2011.252-a