| Summary: | A 14-year-old boy presented with progressive skin and mucous membrane changes including multipl papules on the eyelid margins. His parents also noted hoarseness since early childhood. His rashes emerged first when he was 1-month-old and healed by leaving scars. Voice distorsion appeared at the age of 1. At the age of 5, he developed bilateral multiple papules on the eyelids. His sister also developed similar cutaneus and eyelid lesions as well as voice hoarseness. On physical examination, bilateral beaded papules were present on the margins of eyelids (arrows in Fig. A). Also noted were widespread facial acneiform scars, thickening of the tongue associated with restricted tongue movement.
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