II. Epidemiology
- Common benign dermatologic condition typically occurring in patients with Skin of Color (e.g. black, asian, hispanic)
- Occurs in 10-30% of black patients
- Onset after Puberty
- More than 50% of patients have a Family History of these lesions (typically multiple family members)
III. Pathophysiology
- Idiopathic, benign lesions
- Not related to nevi (despite being referred to by patients as "moles")
IV. Symptoms
- Typically asymptomatic
- May be mildly pruritic
V. Signs
- Distribution
- Face, neck and trunk
- Characteristics
- Multiple Brown to dark brown, dome-shaped Papules, each 1-5 mm in diameter
VI. Management
- Treatment is not needed and cosmetic only
- Treatment risks Postinflammatory Hyperpigmentation
- Destructive techniques include excision with scissors, laser, electrodesication, Cryotherapy and Microdermabrasion
