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Question: Can you identify this condition?

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Canadian Family Physician•Le Médecin de famille canadien

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Vol 58: JulY • JuIllET 2012

Dermacase

Answer on page 771 Answer on page 770

Can you identify this condition?

Lina Abdullah

RN

Ossama Abbas

MD

A

1-year-old boy presents with a solitary lesion on his right thigh. It first appeared when he was 1 month of age and it has persisted since that time. The lesion is usually asymptomatic, but becomes swollen and itchy when rubbed or traumatized. Skin examination reveals a soft erythematous to brownish papule, 1 cm in length, on the lateral aspect of the upper right thigh. The patient is otherwise healthy and does not have a family history of a similar condition.

The most likely diagnosis is

1. Congenital melanocytic nevus 2. Solitary mastocytoma

3. Insect bite 4. Epidermal cyst

Can you identify this condition?

Ching-Fu Huang

MD

Chien-Ping Chiang

MD

Yu-Fei Chen

MD

Wei-Ming Wang

MD PhD

A

healthy 6-year-old child presented with asymp- tomatic, shiny skin eruptions on his chest, back, abdomen, and genitalia. They had persisted for several years. Physical examination revealed tiny, discrete, flesh- coloured papules with fine scales on the chest, back, abdomen, and penis. Past medical and family history were essentially unremarkable. He was not taking any medications when the lesions originally occurred.

The most likely diagnosis is 1. Lichen planus

2. Molluscum contagiosum 3. Lichen nitidus

4. Lichen striatus

5. Lichen spinulosus

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Vol 56: july • juillet 2010 Canadian Family Physician • Le Médecin de famille canadien