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Localized Rosacea? Presented by Richard C. Gibbs, MD.
The patient is a 74-year-old man who has had an asymptomatic erythematous swelling of his right ala nasi for two years (Figure).
Abraham J. Orfuss, MD: The localization of the papules favors the diagnosis of folliculitis nares perforans, a folliculitis of the vibrissae with the inflammation "pointing" externally on the ala. The process tends to persist because fragments of hair, which are residua from the folliculitis, are retained. This results in a foreign-body reaction. Surgical removal of the fragments may be required for a cure.Dr. Gibbs: The diagnosis suggested by Dr. Orfuss is supported by the histopathologic findings. A foreign-body reaction secondary to a disrupted follicle was described.
Lichen Sclerosus et Atrophicus. Presented by Irving Abrahams, MD.
A 6-year-old girl has had discrete whitish lichenoid papules, measuring 2 to 3 mm, on the dorsal surface of her hands and feet