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Off-Center Fold
Sep 2011

Long-term Progression Facial Plaque —Quiz Case

Arch Dermatol. 2011;147(9):1097-1102. doi:10.1001/archdermatol.2011.252-a

A 37-year-old woman from Morocco presented with a 10-year history of pruritic facial plaques. The lesions appeared gradually and grew progressively with no previous trauma or scar. The patient did not report a family history of similar lesions. Physical examination showed a 13-mm erythematous annular plaque on the upper lip, with a well-demarcated raised keratotic border and central atrophy (Figure 1). In addition, we observed another 2 small but similar lesions at the right nasal ala (Figure 2). A complete skin examination failed to reveal additional lesions elsewhere. A punch biopsy specimen from the margin of an upper lip lesion was examined microscopically (Figure 3).