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March 2011March 21, 2011

Multiple Congenital Facial Papules—Quiz Case

Author Affiliations
 

MARY S.STONEMD

 

SOONBAHRAMIMDCARRIE ANN R.CUSACKMDSENAIT W.DYSONMDMOLLY A.HINSHAWMDARNI K.KRISTJANSSONMD

Arch Dermatol. 2011;147(3):345-350. doi:10.1001/archdermatol.2011.36-a

A 7-day-old girl presented with multiple congenital facial papules. On physical examination, several pedunculated, skin-colored papules were present on the left supraorbital rim, cheek, and nasolabial fold (Figure 1). Additional skin findings included violaceous, atrophic patches on her midline posterior neck and upper back and right shoulder (Figure 2). Other pertinent findings included up-slanting palpebral fissures, hypertelorism, and widely spaced nipples. Histologic features of a facial papule are shown in Figure 3.

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