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October 2009

Asymptomatic Red Plaque on the Leg of a 7-Year-Old Girl—Quiz Case

Author Affiliations




Arch Dermatol. 2009;145(10):1183-1188. doi:10.1001/archdermatol.2009.214-a

A 7-year-old girl presented with a 2½-year history of an asymptomatic lesion on her lower left leg. There had been no recent change in size or color. The lesion had been treated with flurandrenolide tape in the past and got slightly smaller but then returned to its original size. It had never bled or ulcerated. The patient's medical history and a review of systems were unremarkable. She had no significant family history. Her parents were from India, but she had never traveled there; she had been to Guyana but only after the lesion had appeared. Physical examination revealed a 3.6 × 1.3-cm, erythematous, firm plaque with an adjacent 0.6 × 0.4-cm, erythematous, firm papule on the anterior aspect of the lower part of her left leg (Figure 1). She had no lymphadenopathy or other notable cutaneous lesions. The skin biopsy findings are shown in Figure 2 and Figure 3.