Perinasal papules

CASE #1

A 42-year-old man presented to the dermatology clinic complaining of a white-yellow papule that he had first noticed on his nose about three years ago. His history was noncontributory. Examination revealed a 3-mm dome-shaped skin-colored papule on the right alar aspect of his nose. On dermoscopy, the lesion was noted to be erythematous, with arborizing telangiectasias. The papule was firm to the touch and totally symmetric.

CASE #2

A 55-year-old man complained of small, soft, yellow papules on his nose and face. Numerous painless papules, ranging in size from 1 to 5 mm, were located on the nose, the glabellar area, cheeks, and forehead. Each lesion had a central umbilication from which the patient was able to express small quantities of a white fluid. Dermoscopy revealed a central aggregation of yellow nodules surrounded by groups of orderly winding vessels.

What is your diagnosis?

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