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October 1993

Pathological Cases of the Month

Author Affiliations

From the Department of Dermatology, The University of Texas Medical School at Houston and the Department of Medical Specialties, Section of Dermatology, The University of Texas M. D. Anderson Cancer Center.

Am J Dis Child. 1993;147(10):1123-1124. doi:10.1001/archpedi.1993.02160340109026

A healthy boy was born via a normal spontaneous vaginal delivery to a primigravida, gravida 1, para 2, 28-year-old Latin American woman after 40 weeks 4 days of gestation. His Apgar score at 1 and 5 minutes was 8 and 9, respectively. His physical measurements were as follows: weight, 3755 g (90th percentile); length, 52 cm (85th percentile); head circumference, 34.5 cm (60th percentile); and chest circumference, 34 cm. Cutaneous examination was remarkable for two polypoid lesions anterior to the left ear (Fig 1). At age 8 weeks, he was seen for evaluation and treatment of the preauricular taglike lesions. Complete examination demonstrated no other cutaneous or systemic abnormalities. After administering local anesthesia to the area with 1% lidocaine hydrochloride with 1:100000 epinephrine, the skin lesions were excised. Hemostasis was achieved with a solution of 20% wt/vol of aluminum chloride in anhydrous ethyl alcohol (Drysol, Person & Covey, Glendale, Calif).

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