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November 1991

Nodular Lesions on the Face and Trunk

Author Affiliations

University of Alabama, Birmingham

Arch Dermatol. 1991;127(11):1722. doi:10.1001/archderm.1991.01680100123020

REPORT OF A CASE  A 27-year-old man presented to the department of dermatology for evaluation and treatment of widespread nodular lesions on his face and trunk. He reported that the progressive development of the nodules began when he was 20 years old. The lesions were easily traumatized. He denied ocular symptoms, hoarseness, difficulty breathing, polydipsia, polyuria, or seizure disorder. No family history of a similar eruption could be elicited. He was otherwise healthy and took no medications.Findings from the physical examination revealed numerous nontender yellow-brown papules and nodules on his face, neck, and trunk, primarily in flexural areas, including the groin and axillae bilaterally (Figs 1 and 2). These lesions ranged from 1 to 3 cm.Laboratory data revealed normal serum lipid levels and normal results from urinalysis.A shave biopsy specimen of a nodule from the right antecubital fossa revealed a flattened epidermis surrounding a dermis heavily infiltrated

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