[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.197.171.35. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Views 552
Citations 0
JAMA Pediatrics Clinical Challenge
September 2013

Spiny Follicular Hyperkeratotic Papules on the Face

Author Affiliations
  • 1American University of Beirut Medical Center, Beirut, Lebanon
JAMA Pediatr. 2013;167(9):867-868. doi:10.1001/jamapediatrics.2013.2246

A 5-year-old boy, known to have acute lymphoblastic leukemia since the age of 3 years, presented with a 3-week history of asymptomatic skin lesions primarily affecting the face and to a lesser extent the trunk and extremities (Figure, A and B). He had been undergoing a maintenance chemotherapy regimen consisting of vincristine sulfate, 6-mercaptopurine, methotrexate, and high-dose prednisone. He did not undergo bone marrow or stem cell transplant as part of his treatment. Multiple topical medications including keratolytics were applied to the affected areas without effect.

First Page Preview View Large
First page PDF preview
First page PDF preview
×