Dermatologic Physical Exam

Primary Lesions

1. Tiny firm flesh-colored papules that interrupt skin lines or dermatoglyphic lines when on palms or soles (see Photo 6).

2. Filiform (threadlike) papules, especially on the eyelid and facial areas (see Photo 7).

Secondary Lesions

1. Raised dome-shaped papules with a grey-white scaling surface and black pinpoint blood vessels (see Photo 8).

2. Large nodules with multiple tightly grouped filiform papules, the tips composed of gray scale or tipped by black thrombosed vessels (see Photo 9).

3. Tightly clustered round papules often with minimal or no elevation (corymbiform pattern) frequently at sites of compression such as plantar surface of foot (see Photo 10).


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