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A 10-year-old boy presented with 3-year history of erythema and brown-coloured pigmentation over bilateral preauricular and malar areas, studded with tiny whitish papules giving a rough texture (figure 1). Follicular keratotic papules with perifollicular erythema of keratosis pilaris (KP) were also present on the arms. KP lesions were observed over the arms of his brother and parents. A facial lesion biopsy revealed hyperkeratosis, follicular plugs, increased basal pigmentation and …
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