Flat-topped papules on a child's trunk

A 5-year-old African-American male presented to the dermatology clinic for evaluation of an eruption that had been present for 2 years. The lesions were asymptomatic.

A review of systems was negative for fever, chills, and other skin eruptions. The patient’s family and social history were noncontributory. His only medication was hydrocortisone 1% cream, which he had used for the eruption without ...