REPORT OF A CASE
A 3-year-old girl was referred to the Dermatology Clinic at Children's Memorial Hospital, Chicago, for evaluation of an asymptomatic papular eruption on the dorsa of the hands and feet and around the elbows and knees. The eruption had been present for approximately one year, with individual lesions persisting for three to four months. The lesions reportedly appeared as small erythematous papules that subsequently became larger and flesh colored. Some lesions were described as pustular or vesicular. The child's general health was good, and there was no family history of cutaneous diseases.On physical examination, 2- to 4-mm flesh-colored papular lesions were scattered over the elbows, knees, ankles, hands, and feet (Figs 1 and 2). Central umbilication with scale was noted in many of the papules, although none had a central core, and none was vesicular. A punch biopsy specimen was obtained from the dorsum of the