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Clinical Quiz Question

Facial Lesions on a College Basketball Player

Jeff Leggit, MD

THE PHYSICIAN AND SPORTSMEDICINE - VOL 29 - NO. 12 - DECEMBER 2001


A 20-year-old male African-American college basketball player reported to the training room for evaluation of recurrent bumps on his face. He stated that these lesions began occurring after he started shaving. His healthcare provider had told him that they were "shaving bumps" and that there was nothing he could do for them. The patient had tried an over-the-counter product (Bump Stopper, Long Beach, California) with minimal success. He used a single-edged razor, and was concerned because some of the lesions were painful and leaving scars.

On examination, he had multiple inflamed papules and pustules on the traditional shaving areas (figure 1). Hypertrophic skin changes were consistent with scarring (figure 1B), and no other skin lesions were found.

What is your diagnosis? What treatment would you recommend?

Dr Leggit is a family physician with a certificate of added qualifications in primary care sports medicine at Darnall Army Community Hospital at Fort Hood in Harker Heights, Texas. Address correspondence to Jeff Leggit, MD, 2203 Delaware Dr, Harker Heights, TX 76548; e-mail to [email protected].


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