Presenter: Roger C. Byrd D.O., David R. Byrd M.D. and Mark Hinkson D.O

Dermatology Program: St. John Oakland, Madison Heights, MI

CHIEF COMPLAINT: Multiple papules on her cheeks and nose

CLINICAL HISTORY: A 73-year-old Caucasian female was seen about a year ago for evaluation of multiple papules on her cheeks and nose. The lesions are asymptomatic but have gradually increased in number since the time of menopause. The patient’s mother and sisters have similar lesions on their faces, which also started around menopause. However, 4 daughters are currently unaffected by this process. The patient’s past surgical history includes colonoscopy, left breast lumpectomy, and removal of kidney stone. Her medications include Fosamax and Premarin. Her past dermatologic history includes treatment of actinic and seborrheic keratoses.