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January 1996

A Slow Growing Lesion on the Face

Author Affiliations

Wayne State University School of Medicine, Detroit, Mich

Arch Dermatol. 1996;132(1):86. doi:10.1001/archderm.1996.03890250097018

REPORT OF A CASE  A 20-year-old woman noticed the onset of a left medial eyebrow lesion in January 1990. She sought medical attention in May 1990 and was treated unsuccessfully with intralesional steroids. Born in India, she lived there for 14 years and then immigrated to the United States in 1987, where she has lived since. Her history was negative for tuberculosis or any known exposure to it. She received a single dose of BCG vaccine on the left arm at the age of 6 years.The lesion was a 1.0×2.0-cm tan, scaly, granulomatous plaque located on the left medial eyebrow (Figure 1). No lymphadenopathy was noted at the time, and her chest was clear to auscultation. The following laboratory studies were normal: chest radiograph, complete blood cell count, automated 12-channel analysis, and urinalysis. At 48 hours, a purified protein derivative (PPD) test was positive (diameter, 30 mm) (Figure 2

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