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JAMA Pediatrics Clinical Challenge
December 2013

Teen With Lesion on Nasal Sidewall

Author Affiliations
  • 1Robert Wood Johnson Medical School, New Brunswick, New Jersey
  • 2Department of Dermatology, Robert Wood Johnson Medical School, New Brunswick, New Jersey

Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Pediatr. 2013;167(12):1167-1168. doi:10.1001/jamapediatrics.2013.3086

A 15-year-old male presented to the dermatology clinic with a lesion that had been present on his right nasal sidewall since birth. At puberty, the lesion expanded in size, became irritated, and developed a papillated, rough texture. The patient otherwise had no significant medical history and was in good health. On physical examination, there was a 3.6-cm × 1.5-cm verrucous skin-colored to light-brown plaque on the right nasal sidewall (Figure).

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