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Carrie K. Guill, MD; Linda Y. Hwang, MD; Vivek Iyengar, MD; Sylvia Hsu, MD
Baylor College of Medicine, Houston, Tex

Arch Dermatol. 2002;138:1509-1514.

	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 12-year-old Native American girl presented with an 8-month history of asymptomatic growths on the mucosal aspect of her upper and lower lips. She was not sexually active and was otherwise healthy. There was no family history of similar lesions.

Physical examination revealed several nontender papules measuring 0.3 to 1.0 cm scattered over the labial mucosa (Figure 1). The rest of the oral mucosa, including the vermilion, buccal mucosa, and tongue, was spared. When stretched, the papules became nearly imperceptible. A shave biopsy specimen was obtained from one of the papules (Figure 2 and Figure 3).

Figure 1.

Figure 2.

Figure 3.

What is your diagnosis?

Diagnosis: Focal epithelial hyperplasia (FEH [Heck disease]).

The biopsy specimen showed hyperplastic mucosal epithelium with acanthosis and anastomosing rete ridges.(Figure 2). There was slight pallor of the squamous epithelium and focal . . . [Full Text of this Article]