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Mar 2012

A Firm Nodule on the Glabella With Recurrent Facial Edema —Quiz Case

Author Affiliations
 

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

Arch Dermatol. 2012;148(3):385-390. doi:10.1001/archderm.148.3.385-d

A 46-year-old woman presented with a 5-year history of facial edema and tenderness that had been paroxysmally relapsing and slowly remitting every 4 to 8 weeks. She denied previous trauma or procedures, except for multiple endoscopic nasal operations 3 years earlier.

Physical examination revealed an erythematous, indurated, firm nodule on the glabella and scleroticlike texture changes over the malar aspect of the cheeks bilaterally (Figure 1). Multiple punch biopsy specimens were obtained from the glabella and cheek (Figure 2 and Figure 3).

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