A 51-year-old white woman presented with multiple long-standing, asymptomatic, small, bluish subcutaneous papules on the bilateral cheeks and forehead. The patient reported that the bumps were painless and their appearance had become more visible over the past several months. She did not recount any precursor lesions in the involved areas. The patient reported that she had only had mild acne in the past and denied any other pertinent medical history or medications.
Physical exam revealed several firm, bluish-colored papules on the bilateral cheeks and the forehead (Figures 1 and 2). No evidence of acne or acne scarring was present.
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