A 7-year-old healthy white girl presented to the clinic with a several-month history of asymptomatic, firm, flesh-colored, 1-mm papules clustered on the dorsal aspect of her hands (Figure 1). Approximately 1 year later, the lesions had spread to include extensor surfaces of all extremities and her face. Many lesions were crusted. A punch biopsy specimen was obtained for routine microscopic study (Figure 2 and Figure 3).
Jackson MD, Pratt L, Lawson P. Asymptomatic Papules on a Child. Arch Dermatol. 2001;137(12):1647–1652. doi: