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JAMA Pediatrics Clinical Challenge

Teen With Lesion on Nasal Sidewall

Image of figure 1

Figure.

Tara Bronsnick, BA
A. Yasmine Kirkorian, MD
Jisun Cha, MD

A 15-year-old male presented to the dermatology clinic with a lesion that had been present on his right nasal sidewall since birth. At puberty, the lesion expanded in size, became irritated, and developed a papillated, rough texture. The patient otherwise had no significant medical history and was in good health. On physical examination, there was a 3.6-cm × 1.5-cm verrucous skin-colored to light-brown plaque on the right nasal sidewall (Figure).

See the full article for an explanation and discussion.

Author Affiliations: Bronsnick is affiliated with the Robert Wood Johnson Medical School, New Brunswick, New Jersey, and Kirkorian and Cha (chaji@umdnj.edu) are affiliated with the Department of Dermatology, Robert Wood Johnson Medical School, New Brunswick, New Jersey.