Codes

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

• Milia – The papules of milia are typically discrete, solitary, and whiter in color compared to sebaceous hyperplasia.
• Acne neonatorum – Follicular-based papules that may have patulous ostia (open comedones) or smooth papules (closed comedones).
• Nevus sebaceus – Agminated yellow, waxy papules, also composed of sebocytes, may occur on the face. These usually coalesce into a plaque.
• Micronodular juvenile xanthogranulomas – Multiple yellow or red-brown papules, typically lacking a follicular basis, and individually larger than sebaceous hyperplasia.
• Langerhans cell histiocytosis – Some variants of self-limited congenital histiocytosis may present with multiple red-brown papules.

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Management Pearls

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Therapy

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References

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