REPORT OF A CASE
A 3-year-old girl was referred to the Outpatient Dermatology Clinic of the American University of Beirut (Lebanon) Medical Center because of an asymptomatic papular eruption of 1 year's duration involving the face, neck, upper extremities, and trunk. The lesions were progressively increasing in number. The patient was otherwise healthy and had a normal development. There was no family history of a similar condition or other skin diseases.
There were multiple, discrete and confluent, 1- to 3-mm papules over the face, neck, upper extremities, and trunk. They were brownish, but some had a yellowish hue (Fig 1). The mucous membranes were not affected. Results of the rest of the physical examination were normal. Two skin biopsy specimens were taken from the right arm and left aspect of the chest. A representative section is shown in Fig 2.What is your diagnosis?
Muffarij NA, Muallem MM, Kibbi A, Salman SM, Zaynoun ST. Multiple Papules in a Child. Arch Dermatol. 1989;125(12):1708a-1708b. doi:10.1001/archderm.1989.01670240109028