Derm Dx: Yellowish papules on the eyelids

A 66-year-old male presents complaining of yellowish papules on his eyelids that have been present for several years. The papules are asymptomatic, but he is bothered by the cosmetic appearance.

The patient’s past medical history is significant for allergic rhinitis, for which he takes occasional antihistamines. There is no family history of early coronary artery disease, stroke or skin ...