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J. Esteban Palacio, MD; Deborah A. Altemus, DO; Erik D. Christensen, MD; Gregory W. Sorensen, MD
Tacoma, Wash

Arch Dermatol. 1999;135:593-598.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 79-year-old man presented with a left nasolabial fold skin lesion that intermittently bled then crusted without other drainage. Physical examination revealed a 2- to 3-mm erythematous papule with crusting and surrounding induration (Figure 1). Dental evaluation, including panoramic films, showed diffuse periodontal disease without periapical abscess or palpable intraoral cords. The patient had been treated previously with antibiotics for this condition. He had multiple recurrences of nondraining nodular lesions in the nasolabial fold area, despite repeated excision by different physicians. The excisional specimens were interpreted as epidermal inclusion cyst on multiple occasions (Figure 2). Cultures and stains of biopsy material were negative for acid-fast bacilli and fungi but did yield coagulase-negative Staphyloccocus and Corynebacterium species on one occasion.

Figure 1.

Figure 2.

What is your diagnosis?

Unusual Recurrent Facial Lesion

The epidermis showed . . . [Full Text of this Article]

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