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March 2011March 21, 2011

Molluscumlike Papules in a 4-Month-Old Boy—Quiz Case

Author Affiliations




Arch Dermatol. 2011;147(3):345-350. doi:10.1001/archdermatol.2011.37-a

A 4-month-old African American boy presented with a 2-month history of skin lesions. The initial presentation was a retroauricular pea-sized papule that ulcerated over time. Over the next 6 weeks, similar lesions developed in a widespread distribution. The patient was healthy for his gestational age and had developed all the appropriate milestones to date. No skin lesions were present at birth.

Physical examination revealed multiple 1- to 5-mm flesh-colored and erythematous papules, some with centralumbilication and crust, over the scalp, neck, trunk, groin, and buttocks (Figure 1). The oral mucosa, palms, and soles were not involved, and there was no evidence of lymphadenopathy. A skin biopsy was performed (Figure 2 and Figure 3).