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JAMA Dermatology Clinicopathological Challenge
November 14, 2018

Bilateral Round Scar-like Lesions on the Face of a Young Man

Author Affiliations
  • 1Department of Dermatology, La Paz University Hospital, Madrid, Spain
  • 2Department of Anatomic Pathology, La Paz University Hospital, Madrid, Spain
JAMA Dermatol. 2019;155(2):245-246. doi:10.1001/jamadermatol.2018.3899

A 26-year-old man presented with a several-year history of persistent round lesions with a scar-like appearance on his face. Before evaluation, his condition had been diagnosed as lupus and lipoatrophy and he tried several treatments with no success.

The results of his physical examination showed several round atrophic lesions on his face, symmetric and bilateral, that were located especially on the malar and preauricular areas, with a diameter of 5 to 10 mm. His skin lesions were not indurated and displayed no epidermal changes (Figure 1). The patient denied experiencing previous inflammation. He had no history of chicken pox or acne or traumatic lesions in those areas. New punch biopsy specimens were obtained for further evaluation.

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