case_images: PMC6662247_01
case_images: (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.
case_images: CRIDM2019-6821854.001.jpg
case_images: PMC6662247_01_CRIDM2019-6821854.001.jpg
case_images: fig1
case_images: 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).
case_images: Polarized contact dermatoscopy: on a white-ivory background, bright white lines and yellow to light brown dots and clods.
case_images: CRIDM2019-6821854.002.jpg
case_images: PMC6662247_01_CRIDM2019-6821854.002.jpg
case_images: fig2
case_images: Histopathology: hematoxylin and eosin stain; original magnification x40: multiple horn cysts and aggregations of basaloid keratinocytes surrounded by a fibrous stroma.
case_images: CRIDM2019-6821854.003.jpg
case_images: PMC6662247_01_CRIDM2019-6821854.003.jpg
case_images: fig3
case_images: No connection with the overlying epidermis was noted (Figure 3).
case_images: Marked improvement after a 3-month treatment with cream imiquimod 5%.
case_images: CRIDM2019-6821854.004.jpg
case_images: PMC6662247_01_CRIDM2019-6821854.004.jpg
case_images: fig4
case_images: No side effects were reported during treatment (Figure 4).