Derm Dx: Hyperpigmented plaques on the forehead and skin-colored papules on nose

by Kristy Fleming, MD

A 48-year-old black man presented for evaluation of multiple skin plaques. He complained of several papules on his nose and nasal rim as well as larger plaques on his forehead, which had been present and slowly growing for many years.

The lesions were asymptomatic, but cosmetically bothersome for the patient. He complained of difficulty breathing, but was ...