Nodules on the Cheek of a 6‐Year‐Old Girl

Abstract

A 6-year-old girl presented with a 6-month history of two nodules on her right cheek. Her medical history was significant for a choledochal cyst that had been treated with surgical excision when she was 2 years old with no significant long-term sequelae. Physical examination revealed two nontender, firm nodules on her right cheek with a violaceous hue but otherwise no overlying surface change (Fig. 1). She also had several pink papules on her cheeks and chin. A punch biopsy was performed on one of the nodules (Fig. 2).