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May 2012

Unilateral Facial Ulceration—Diagnosis

Author Affiliations
 

SECTION EDITOR: MARY S. STONE, MD; ASSISTANT SECTION EDITORS: SOON BAHRAMI, MD; CARRIE ANN R. CUSACK, MD;c SENAIT W. DYSON, MD; MOLLY A. HINSHAW, MD; ARNI K. KRISTJANSSON, MD

Arch Dermatol. 2012;148(5):641-646. doi:10.1001/archderm.148.5.642-a

A skin biopsy specimen showed an ulcerated epidermis with no signs of vasculitis, granulomas, or neoplasms. Cultures and special stains were negative for bacteria, fungi, and mycobacteria. The findings of laboratory investigations, including a complete blood cell count and urinalysis, were normal. Tests were negative for extractable antineutrophil cytoplasmic antibodies, fluorescent treponemal antibodies, and serum rapid plasma reagin. Magnetic resonance imaging showed postictal ischemic changes in the midlateral surface of the pons.

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