Derm Dx: Small papules on the nose and cheek

A 34-year-old male presents to the dermatology clinic for evaluation of lesions on his nose and cheek that have been present for several years. He is concerned because they are increasing in number, and he feels they are unsightly.

The patient’s past medical history is significant for renal transplantation at the age of 14 years for polycystic kidneys. His medications ...