Acta Dermato-Venereologica 99-7CompleteContent | Page 32

713 Inflamed Nodular Lesions on the Cheeks in a One-year-old Boy: A Quiz Kristine Appel Uldall PALLESEN and Anette BYGUM Department of Dermatology and Allergy Centre, Odense University Hospital, Kløvervænget 15, DK-5000 Odense C, Denmark. E-mail: Kristine. [email protected] A 1-year-old boy of Afghani origin was referred to the De- partment of Dermatology due to inflamed nodular lesions on his cheeks. He also had a tendency to bilateral hordeolum on the upper and lower eyelids, which was being followed up by an ophthalmologist. Three violaceous, small, nodular lesions were observed on the right cheek and similar minor lesions on the left cheek (Fig. 1). He had no lymph node swelling on his neck. Bacte- rial investigations were negative for atypical mycobacteria. A skin punch-biopsy from his cheek was performed, and standard histology revealed a stratum corneum with slight hyperkeratosis. Epidermis was hyperplastic with minimal spongiosis. A granulomatous inflammation was accentuated in the reticular dermis. Treatment with oral penicillin V and topical corticoste- roids combined with disinfectants had no effect. What is your diagnosis? See next page for answer. Fig. 1. Inflamed nodular lesions on cheeks in a 1-year-old boy. QUIZ SECTION This is an open access article under the CC BY-NC license. www.medicaljournals.se/acta Journal Compilation © 2019 Acta Dermato-Venereologica. doi: 10.2340/00015555-3178 Acta Derm Venereol 2019; 99: 713–714