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December 20, 2010

Generalized Flesh-Colored Papules in a 5-Year-Old Boy—Quiz Case

Author Affiliations

Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2010

Arch Dermatol. 2010;146(12):1419-1424. doi:10.1001/archdermatol.2010.356-a

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.