PMC6662247_01
(a) Numerous skin-colored papules on the right side of the patient's face. (b) The left side of the face is free of lesions. (c) Closer view of the right side: multiple rounded whitish and skin-colored papules and nodules symmetrically distributed on the lower eyelid and the perinasal area.
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Physical examination showed skin-colored papules ranging from 2 to 8 mm in size localized on her mid-forehead, the right eyebrow, the eyelids, down the right cheek, and the right nasolabial fold (Figure 1).
Polarized contact dermatoscopy: on a white-ivory background, bright white lines and yellow to light brown dots and clods.
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Histopathology: hematoxylin and eosin stain; original magnification x40: multiple horn cysts and aggregations of basaloid keratinocytes surrounded by a fibrous stroma.
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No connection with the overlying epidermis was noted (Figure 3).
Marked improvement after a 3-month treatment with cream imiquimod 5%.
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No side effects were reported during treatment (Figure 4).