A 6-year-old Indian girl presented with a 6-month history of what were thought to be plane warts on her face. There were a few similar lesions on her neck and the upper part of her chest. These lesions were asymptomatic, and she was otherwise healthy. Her family had no history of similar lesions.
Physical examination revealed several uniform, glistening, yellowish papules on the face, neck, and upper chest area, each measuring approximately 1 mm in diameter (Figure 1). The findings of the rest of her physical examination were normal. A 3-mm punch biopsy specimen was obtained from a facial papule, and the histopathologic features are shown in Figure 2.
Khoo B, Tay Y. Facial Eruptions in a Child—Quiz Case. Arch Dermatol. 1999;135(10):1267-1272. doi:10.1001/jamadermatol.58604