Abstract
A 9-year-old girl presented to an outpatient dermatology clinic with a 3-year history of asymptomatic skin lesions and an unremarkable personal, family, and medication history. Skin examination revealed erythematous to skin-colored, flat-topped, polygonal, papules ranging in size from <1 mm to 4 mm (Fig 1). The lesions gradually increased in size and number since initial onset; 100s of well-defined lesions with scant scale were generalized in a random, generally symmetrical pattern, with some coalescence affecting the lateral neck, chest, back, upper and lower eyelid areas, as well as the medial, ventral aspect of the wrist and dorsal aspect of the hands.
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