Multiple facial atrophic scars in childhood

Abstract

A five-year-old girl presented with multiple facial atrophic scars. She had a history of small vesicular and crusted lesions on her face, scalp, and fingers since age 6 months that healed spontaneously with scar formation. She was also noted to have had a weak cry and a hoarse voice since birth. She had no other systemic symptoms and no photosensitivity. There was no family history of similar findings and no parental consanguinity. Physical examination revealed multiple, superficial, ill-defined atrophic scars, and hemorrhagic crusts on her face (Figure 1), scalp, and extensor fingers. Her hair was sparse (Figure 2). There were subtle, asymptomatic, tiny, skin-colored papules linearly arranged over her eyelid margins (Figure 3). Dermoscopy was performed on the eyelid lesions (Figure 4) (Dermlite DL3, Â10).