The patient, a 35-year-old Asian man, came seeking treatment of dry skin. During the history-taking and physical exam, he casually mentioned numerous blue papules and nodules (ranging in size from 3 mm to 2 cm) that had been present on his abdomen since puberty. He had been told that they were “cysts” but doubted that because of their color. The lesions were asymptomatic. The remainder of his examination was unremarkable. No one else in the patient’s family had similar lesions. At one time, a previous physician had incised a lesion, and a white-gray material was expressed.

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An 18-year-old Caucasian male had a long history of blue bumps or papules on his chest. The bumps did not itch or burn. He had never sought treatment for the bumps, but they had been noted on examination when he was a child. He did not report any familial diseases. His parents could provide no additional information. Mild comedonal acne was noted on the patient’s face, but the appearance of the comedones did not resemble the blue bumps on his chest. The patient was feeling well and had no other complaints. He was just curious to know what the bumps were.