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July 1990

Multiple Flesh-Colored Facial Papules

Author Affiliations

USAF; USN; Naval Hospital, Bethesda, Md

Arch Dermatol. 1990;126(7):953-954. doi:10.1001/archderm.1990.01670310115019

REPORT OF A CASE  A 27-year-old man presented with flesh-colored papules on the face. The lesions were asymptomatic and of cosmetic concern only. His family history was positive in that his father, two sisters, a brother, and two paternal cousins had similar facial lesions to varying degrees. The lesions had first appeared during his teenage years. The patient was otherwise healthy.Physical examination revealed multiple firm, fleshcolored, 2- to 3-mm (in diameter) papules on the fore- head, cheeks, and chin. There was predominant involvement of the midface, where the lesions had a tendency to coalesce (Fig 1). The scalp was clear, oral mucosa and dentition were normal, and the remainder of the cutaneous examination was unremarkable.A shave biopsy specimen is shown in Figs 2 and 3.What is your diagnosis?

DIAGNOSIS:  Multiple trichoepitheliomas.

HISTOPATHOLOGIC FINDINGS  The biopsy specimen showed well-circumscribed tumor consisting of islands of

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