Asymptomatic Peri-orifical Papular Lesions in a Child
A six-year-old boy presented with a one month history of asymptomatic raised lesions around the mouth, eyes and chin. There was no history of contact allergens. The remainder of his medical history was unremarkable. Cutaneous examination revealed multiple tiny flesh-colored as well as erythematous papules, some of which were shiny and distributed around the mouth, nose, eyes and chin [] with a tendency to become confluent at a few places. Results of the examination of the rest of the skin and mucous membranes were completely normal. Chest roentgenogram was normal. Findings of the skin biopsy specimen taken from a flesh colored papule above the chin is shown in Figures and . The complete blood cell count and blood chemistry panel were within normal limits. Erythrocyte sedimentation rate was 25 mm at the end of one hour. Mantoux test for tuberculosis was negative.