Papular Angioplasia. Presented by the US Naval Hospital, San Diego, Calif.
A 22-year-old white man first noted violaceous papules on his chin three months prior to admission to the hospital. Although the patient has had mild acne vulgaris since age 14, the new lesions were quite distinct in size and color. Soon after the initial lesions appeared, many others erupted on the chin and nose, enlarged rapidly, then became quiescent. They were asymptomatic except for the adverse cosmetic appearance which caused him to seek attention. There was no family history of similar lesions.Many deeply violaceous papulonodular lesions occupied the chin and nasal regions (Figure). They varied from 3 mm to 1 cm in size and were non-tender. In addition, there were a few densely indurated plaque-like lesions with similar distribution and color. Minimal lesions of acne vulgaris were on the face, neck, and trunk.Laboratory findings disclosed concomitant infectious
Carson WE. SONORAN DERMATOLOGICAL SOCIETY. Arch Dermatol. 1972;106(4):589-590. doi:10.1001/archderm.1972.01620130099026