Intended for healthcare professionals

Endgames Spot Diagnosis

Umbilicated papules on the face

BMJ 2019; 367 doi: (Published 14 November 2019) Cite this as: BMJ 2019;367:l6013
  1. Yue-Tong Qian, resident in dermatology,
  2. Dong-Lai Ma, professor in dermatology
  1. Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, PR China
  1. Correspondence to D-L Ma mdonglai{at}

A 5 year old boy presented with a three month history of multiple mildly pruritic, dome shaped, skin coloured, shiny, centrally umbilicated papules (average diameter 1-5 mm) on his face and neck. His medical history included atopic dermatitis, for which he had been treated with topical hydrocortisone, without improvement. The papules were distributed mostly on the perioral and perinasal areas (fig 1) and neck. He had no lesions elsewhere on his body. Ocular examination and laboratory investigations were normal, and he tested negative for HIV. Biopsy of a lesion was sent for histopathological examination (fig 2). …

View Full Text

Log in

Log in through your institution


* For online subscription