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Pathological Cases of the Month

Philip R. Cohen, MD; Enid Gilbert-Barness, MD
Am J Dis Child. 1993;147(10):1123-1124. doi:10.1001/archpedi.1993.02160340109026.
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A healthy boy was born via a normal spontaneous vaginal delivery to a primigravida, gravida 1, para 2, 28-year-old Latin American woman after 40 weeks 4 days of gestation. His Apgar score at 1 and 5 minutes was 8 and 9, respectively. His physical measurements were as follows: weight, 3755 g (90th percentile); length, 52 cm (85th percentile); head circumference, 34.5 cm (60th percentile); and chest circumference, 34 cm. Cutaneous examination was remarkable for two polypoid lesions anterior to the left ear (Fig 1). At age 8 weeks, he was seen for evaluation and treatment of the preauricular taglike lesions. Complete examination demonstrated no other cutaneous or systemic abnormalities. After administering local anesthesia to the area with 1% lidocaine hydrochloride with 1:100000 epinephrine, the skin lesions were excised. Hemostasis was achieved with a solution of 20% wt/vol of aluminum chloride in anhydrous ethyl alcohol (Drysol, Person & Covey, Glendale, Calif).


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