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Bruce W. Fuller, MD, PhD; Alan Binnick, MD; Richard Baughman, MD; James G. H. Dinulos, MD
Dartmouth Medical School, Lebanon, NH

Arch Dermatol. 2004;140:877-882.

	Since this article does not have an abstract, we have provided the first 141 words of the full text and any section headings.

REPORT OF A CASE

A healthy 14-year-old boy with no prior medical problems developed a pale, firm umbilicated papule with a central crust on his left cheek. The lesion remained unchanged for 1 year. However, over the next 6 months, numerous firm, skin-colored to violaceous umbilicated papules developed over the patient's entire face (Figure 1). Collections of new papules simultaneously appeared, some in an annular pattern, on the submental area (Figure 2), upper part of the back, nape, extensor surface of the left forearm, knees, and distal aspect of the lower extremities. A biopsy specimen was obtained from a lesion on the lower left cheek area (Figure 3 and Figure 4).

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

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Figure appears in full text version. Figure 4.

What is your diagnosis?

SECTION EDITOR: MICHAEL E. MING, MD

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Arch Dermatol. 2004;140(7):877-882.
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