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).
Bronsnick T, Kirkorian AY, Cha J. Teen With Lesion on Nasal Sidewall. JAMA Pediatr. 2013;167(12):1167–1168. doi:10.1001/jamapediatrics.2013.3086