SOONBAHRAMIMDCARRIE ANN R.CUSACKMDSENAIT W.DYSONMDMOLLY A.HINSHAWMDARNI K.KRISTJANSSONMD
A 7-day-old girl presented with multiple congenital facial papules. On physical examination, several pedunculated, skin-colored papules were present on the left supraorbital rim, cheek, and nasolabial fold (Figure 1). Additional skin findings included violaceous, atrophic patches on her midline posterior neck and upper back and right shoulder (Figure 2). Other pertinent findings included up-slanting palpebral fissures, hypertelorism, and widely spaced nipples. Histologic features of a facial papule are shown in Figure 3.
Agim NG, Hunt CM, Williams VL, Metry DW. Multiple Congenital Facial Papules—Quiz Case. Arch Dermatol. 2011;147(3):345–350. doi:10.1001/archdermatol.2011.36-a
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