[Symptomatic perioral, perinasal, and periocular papules].

A 12-year-old girl was seen for a 2-month history of multiple asymptomatic lesions on the face. She denied applying any topical products and there were no accompanying systemic symptoms. Physical examination revealed multiple, confluent, infiltrated, yellowish papules in the central facial region (perioral, perinasal, and palpebral) (Figure 1). No similar lesions were observed elsewhere on the body. A complete blood analysis was performed, together with measurement of angiotensin converting enzyme and chest radiograph, with no abnormal findings. Histopathology Perifollicular and interfollicular infiltrate of noncaseating epithelioid granulomas formed of lymphocytes, histiocytes, and multinuclear giant cells (Figure 2).