Young adolescents also may be affected. Most often, young adults have papules singly or in crops that are red, brown, or yellow-brown and appear on the central face, especially on and around the eyelids. Spontaneous resolution after crusting or pustulation within 1-3 years is standard. Residual scarring after individual papules regress may be disfiguring. Lesions occasionally may be generalized and appear on the extremities or trunk.
Papules appear on the central face, especially on and around the eyelids of young adults.
Papules are found predominantly on the face in areas traditionally affected by rosacea. Lesions occasionally may be generalized and appear on the extremities or trunk. Lesions may present later as crusts, pustules, and, ultimately, scars. Imaging is not indicated unless sarcoidosis is suspected. Skin biopsy may be necessary if the diagnosis is in doubt.