We found the case of ''Multiple Facial, Neck, and Upper Trunk Papules in a Black Child'' reported by Hansen et al1 in a recent ''Off-Center Fold'' section of the Archives most interesting, as we believe it is the first to document extrafacial involvement of this condition. We were disappointed, however, that like the report by Frieden et al2 of granulomatous perioral dermatitis, the authors have missed the earlier British literature describing this condition.3,4
The condition was probably first described in detail in 1974 by our senior colleagues at King's College Hospital, London, England, as ''An Unusual Papular and Acneiform Facial Eruption in the Negro Child.''3 They reported 22 cases with clinical features identical to those described later by Frieden et al,2 although granulomas were not seen on histologic examination.
At the December 1987 meeting of the St John's Hospital Dermatological Society, we presented two children