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August 1986

An Extensive Papular Eruption on the Face of a 10-Year-Old Girl

Author Affiliations

Northwestern University Medical School, Chicago

Arch Dermatol. 1986;122(8):931-932. doi:10.1001/archderm.1986.01660200103026

REPORT OF A CASE  A 10-year-old girl was referred to Children's Memorial Hospital, Chicago, for evaluation of an asymptomatic papular eruption on her face, which had been present for 1½ years. It was reported to have become more pronounced in the winter compared with the summer. She was otherwise healthy and had no other cutaneous complaints.Physical examination revealed a distinctive eruption consisting of uniform, fleshy, 1-mm pink-yellow papules over the bridge of her nose, the periorbital area, the temples, and the cheeks (Figs 1 and 2). There was no central umbilication or plug in any of the papules.Two biopsies of typical papules were done; the histopathologic picture was identical both times. Microscopic examination revealed a well-circumscribed, dense dermal infiltrate of normal-appearing lymphocytes. A moderate number of histiocytes and an occasional plasma cell were dispersed throughout