Spot Dx — What’s behind this ‘tight’ skin?

Shan, a 46-year-old chef, presents with multiple papules on the face, which have been present for several years and are gradually multiplying.

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Dr Kate Kelso is a GP and medical editor at Australian Doctor.

References on request from Dr Kate Kelso.

Reproduced from BMJ, Yin H, Lu L., 385:e077947, 2024 with permission from BMJ Publishing Group Ltd.