Skin-Colored, Dome-Shaped Papule on the Upper Lip.

Previously published Photo Quizzes are now featured in a mobile app. Get more information at http:// www.aafp.org/afp/apps. A 42-year-old man with a history of basal cell carcinoma on his scalp (five years earlier) presented for an annual examination. He reported inconsistent sunscreen use and did not have any new or concerning lesions. He did have a papule on his upper lip that had not changed in shape, size, or color since he first noticed it 10 years earlier. He had nicked it many times while shaving. Physical examination revealed a solitary, 3.5-mm, skin-colored, dome-shaped, nontender, firm papule (Figures 1 and 2). On dermoscopy, there was prominent telangiectasia and loss of skin markings within the papule, and no evidence of a pigment network or hair growth.