A 76-year-old white man presented with asymptomatic, tiny, white papules on his upper eyelids that had developed gradually over the past 15 years. His medical history was significant for coronary artery disease, diabetes mellitus, hypothyroidism, and hypercholesterolemia. There was no family history of similar lesions.
Physical examination revealed multiple white papules, 1 mm in diameter, closely aggregated on the medial half of both upper eyelids (Figure 1). A biopsy specimen was obtained (Figure 2).
Alapati U, Lynfield Y. Multiple Papules on the Eyelids. Arch Dermatol. 1999;135(12):1543-c-1548. doi:10-1001/pubs.Arch Dermatol.-ISSN-0003-987x-135-12-dof9025