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November 2004

A Pigmented Verrucous Plaque on the Cheek—Quiz Case

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Copyright 2004 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2004

Arch Dermatol. 2004;140(11):1393-1398. doi:10.1001/archderm.140.11.1393-a

A 23-year-old African American woman presented with a dark plaque containing a nodule on her cheek. Although the plaque had been present since birth, a small area of it had become raised over the last 6 months before presentation.

Physical examination revealed a 4.5-cm, well-circumscribed, asymmetrical, verrucous, brown-black plaque on the left preauricular area (Figure 1). A pedunculated nodule arose from the inferior margin (arrow).

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