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Verrucous Papules and Plaques in a Pediatric Patient—Quiz Case
Mercedes E. Gonzalez, MD;
Fiona P. Blanco, MD;
Maria C. Garzon, MD
Columbia University, New York, New York
Arch Dermatol. 2007;143(9):1201-1206.
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REPORT OF A CASE
A 12-year-old boy presented with a several-month history of enlarging verrucous lesions on his face and left forearm. Similar lesions had first appeared on the central area of his face 3 years earlier and had been excised. His medical history included failure to thrive, which required gastrostomy tube feeding; Arnold-Chiari malformation, which had been corrected when he was 1 year old; idiopathic hypertrophic subaortic stenosis, which required 2 corrective surgical procedures; global developmental delay; and hypertension, which required propranolol therapy. His family history was unremarkable.
Physical examination revealed coarse facial features, large lips, a short neck, and 4 facial verrucous papules (Figure 1). Follicular papules were present over the lateral surface of both arms and on the face. The palms were hyperkeratotic, with accentuation of the creases. There was a large 2 x 2-cm verrucous plaque . . . [Full Text of this Article]
RELATED ARTICLE
Verrucous Papules and Plaques in a Pediatric Patient—Diagnosis
Arch Dermatol. 2007;143(9):1201-1206.
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