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September 2003

Dome-Shaped Lesion on the Nose—Quiz Case

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Copyright 2003 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2003

Arch Dermatol. 2003;139(9):1209-1214. doi:10.1001/archderm.139.9.1209-a

A 48-year-old man presented with a dome-shaped lesion on his right nostril. The lesion had appeared 4 months earlier and was causing occasional dysesthesia. Physical examination revealed a 4 × 3-mm pink-red nodule with well-demarcated borders (Figure 1). The patient's medical history was unremarkable. The remaining skin findings were normal, and there were no palpable regional lymph nodes. A 2-mm punch biopsy specimen was obtained (Figure 2 and Figure 3).

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