MARY S.STONEMDSOONBAHRAMIMD CARRIE ANN R.CUSACKMDSENAIT W.DYSONMDMOLLY A.HINSHAWMDARNI K.KRISTJANSSONMD
A 53-year-old white man presented with multiple asymptomatic small facial papules that had been increasing in number over the previous 8 years. He had a medical history of hypertension and hypercholesterolemia controlled with amlodipine besylate, atorvastatin calcium, and bendroflumethiazide. There was no family history of skin disorders or renal, pulmonary, or colonic disease. Physical examination revealed approximately 50 2- to 3-mm, firm, smooth, white, dome-shaped papules scattered over the nose, cheeks, and the glabellum (Figure 1). Multiple punch biopsy specimens were taken from the cheek and nose (Figure 2 and Figure 3).
Lynch M, Sheahan K, Lavelle M, Collins P. Multiple Facial White Papules—Quiz Case. Arch Dermatol. 2011;147(4):499–504. doi:10.1001/archdermatol.2011.64-a
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