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December 1985

Long-standing Erythematous Facial Plaques

Author Affiliations

University of Maryland Medical System, Baltimore

Arch Dermatol. 1985;121(12):1553-1554. doi:10.1001/archderm.1985.01660120079025

REPORT OF A CASE  A 56-year-old man had slowly proliferating and expanding asymptomatic reddish areas on his face of approximately 15 years' duration. A pink lesion first developed on his forehead, and, subsequently, multiple similar areas appeared under his left eye and on both cheeks. Most lesions remained stable, but there was some variation in progression and even rare disappearance. No specific aggravating or ameliorating agent existed. His general health was excellent, and he was taking no medications.Physical examination revealed numerous well-defined, dusky 0.5- to 3-cm erythematous papules and plaques on both malar areas, the forehead, the bridge of the nose, and the right preauricular area (Figs 1 and 2). There was follicular prominence but no follicular plugging, scarring, atrophy, or scale formation.Examination of a skin biopsy specimen disclosed a normal epidermis and a heavy polymorphous infiltrate in the upper dermis that was composed of neutrophils, lymphocytes, histiocytes,

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