A Child Has Small, Firm, Flesh-Colored Papules in Both Axillae

question 13

Multiple Choice

A child has small, firm, flesh-colored papules in both axillae which are mildly pruritic. What is an acceptable initial approach to managing this condition?

• A) Application of trichloroacetic acid 25% to 50% using a dropper
• B) Applying liquid nitrogen for 2 to 3 seconds to each lesion
• C) Reassuring the parents that these are benign and may disappear spontaneously
• D) Referral to a dermatologist for manual removal of lesions with curettage

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