Correspondence: Dr Brimhall, Kentucky Dermatology and Skin Cancer Clinic, Voluntary Faculty, University of Kentucky, 177 Burt Rd, Lexington, KY 40503 (firstname.lastname@example.org).
Financial Disclosure: None reported.
Additional Contributions: We are indebted to Ziad William Sara, MD, for his participation in the management and treatment of this patient.
Figure 1. Hematoxylin-eosin–stained biopsy specimens. A, Hair follicle distended by excessive proliferation of nucleated eosinophilic inner root-sheath cells with trichohyalin granules (original magnification ×200). B, Keratotic spine formed of nucleated corneocytes (original magnification ×100).
Figure 2. Clinical images of our patient. A, Multiple follicular papules on the cheeks prior to treatment. B, Substantial reduction of follicular papules after 7 weeks of treatment with valganciclovir, 900 mg twice a day.
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