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A 6-year-old girl presents to urgent care for vaccinations at the start of the school year. Her father asks the pediatric provider to look at bumps that developed on her abdomen about 4 weeks ago. They consist of tiny papules, some scattered and some in linear configurations. The patient is asymptomatic without pain or itching. Her father is concerned because they have not resolved.

View the image in this context and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

Papules on Her Abdomen
Figure 1.
A 6-Year-Old Girl with Papules on Her Abdomen