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Abstract

A 24-year-old male presented with hoarseness of voice and asymptomatic papular eruption on the face since infancy. He was the second child in the family, born to consanguineous marriage. His younger sister had similar disease. He had no history of photosensitivity or blistering, seizures. He had multiple yellowish waxy papules on the borders of his eyelids giving it a beaded appearance (Figure 1). Similar lesions were also seen on forehead, arms and upper trunk. The skin over the face and neck was shiny and infiltrated with areas of pock like scarring. He also had vegetating plaques in the intertriginous areas. The lips were thickened, infiltrated and everted. The buccal mucosa had a distinct cobblestone appearance. His tongue was firm and enlarged. Systemic examination did not reveal any abnormalities