Description
A 25-year-old man, born of a non-consanguineous marriage, presented with a history of progressively increasing, asymptomatic, pinhead-sized small lesions over the eyelid along with hoarseness of voice since early childhood. There was a preceding history of developing small vesicular and crusted lesions over the face which healed spontaneously with scarring. He had no history of photosensitivity, dyspnoea, dysphagia, seizures, visual disturbances, respiratory obstruction or restricted tongue movement. No one else in the family had similar complaints. Mucocutaneous examination revealed multiple, skin coloured, linearly arranged, closely aggregated 1–2 mm-sized papules predominantly over both upper eyelid margins (figure 1A). The facial skin was waxy in appearance with multiple, ill-defined atrophic superficial scars of varying sizes (figure 1B). Corrugated, rough, keratotic, ill-defined plaques were present over bilateral elbows and knees (figure 1C). The tongue was hypertrophied and showed dental impressions (figure 1D). Skin...
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