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A 42-year-old woman attended the dermatology outpatient department (OPD), with a 2–3 year history of multiple firm flesh-coloured papules localised to her cheeks, periauricular and auricular area (figures 1 and 2). These lesions developed when the patient was in her late 30s. They were asymptomatic. She also had multiple fibroepithelial polyps (skin tags). She had a family history of similar skin lesions (2 sisters and her father). Her medical history was significant for …
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