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January 1990

Multiple Neck Papules in a Child With Acute Lymphocytic Leukemia

Author Affiliations

University of Virginia Medical Center, Charlottesville

Arch Dermatol. 1990;126(1):103-104. doi:10.1001/archderm.1990.01670250109019

REPORT OF A CASE  A 9-year-old boy was referred for evaluation of multiple asymptomatic papules that had been present on the posterior aspect of his neck for approximately 2 years. The referring physician had removed a similar lesion from the anterior aspect of his neck 2 weeks earlier.Physical examination revealed a healthy-appearing 9-year-old boy. Over the posterior aspect of his neck were six shiny, focally pigmented, firm papules, approximately 3 mm in diameter (Fig 1). The remaining skin, including palmar and plantar surfaces, was normal. Facies were normal. Teeth and underlying bony structures were grossly normal. The family history was negative for similar lesions or other dermatoses.All six lesions were shave excised. Their histopathologic appearance was similar to that of the anterior neck papule examined 2 weeks earlier, as shown in Fig 2.Further studies included skull and chest roentgenograms, both of which were normal.The child's medical

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