A healthy 5-year-old boy came to our clinic for a generalized asymptomatic eruption that had been present for3 months. He had been unsuccessfully treated with topical steroids and immunomodulators. On physical examination, we found numerous tiny flesh-colored flat-topped papules on the anterior and posterior trunk, extremities, and face (Figure 1 and Figure 2). The oral mucosa, palms, soles, and nails were spared. Histologic features are shown in Figure 3.