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May 2002

Proptosis With Violaceous Dermal and Subcutaneous Skin Nodules in an Infant

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Arch Dermatol. 2002;138(5):689-694. doi:10.1001/archderm.138.5.689

A 2½-month-old girl presented with a short history of disseminated violaceous skin nodules. She was born at term after an uneventful pregnancy. Soon after birth, her parents noted a rapid, painless enlargement of her right eye, with a protrusion of the eyeball. A few weeks later, the skin nodules on her trunk and extremities became apparent.

At examination, there were numerous violaceous, firm, dermal and subcutaneous nodules (0.5-1.2 cm in diameter) on the patient's trunk, arms, and thighs (Figure 1). There was also marked edema of the upper and lower eyelids and conjuctiva that was associated with a marked protrusion and displacement of the right eyeball in a downward and temporal direction (Figure 2).

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