PMC3481908_01
Beaded lesions over both eyelid margins
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F1
A six-year-old female child born of consanguineous parents was referred to the skin out patient, with complains of beaded deposits over eyelid margins [Figure 1] since last one year and associated with hoarseness of voice.
Multiple scars over elbows, upper arm and lower back
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F2
On cutaneous examination, there was multiple waxy white beaded lesions over both eyelid margins (Moniliform blepharosis) and multiple pocks like scars of different sizes over elbows, upper arm and lower back. [Figure 2], wthout any fresh vesicles.
Mucosal infiltration
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F3
Examination of oral cavity examination revealed tongue with almost of normal consistency and appearance,thickened frenulum showing yellow white infiltration [Figure 3].
Pebbling in lower lip mucosa
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F4
Another interesting finding was multiple beaded lesions over mucosal side of lower lip. [Figure 4].
Histopathological study showing PAS-positive hyaline material around capillaries and adnexal structures
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F5
Biopsy was done from oral mucosa, which revealed deposits of periodic acid-Schiff (PAS)-positive hyaline material around capillaries and adnexal structures [Figure 5].