Fig. 1.

Multiple brownish papules on the back (a); multiple brownish papules on the chest (b); multiple brownish papules on the head/neck region (c); multiple brownish papules on the head/neck region, lateral view (d); dermoscopy of one lesion showed peripheral hyperpigmentation, with central pale amorphous brownish area, consistent with dermatofibroma-like pattern (e); RCM of one lesion showed increased vascularization of the papillary dermis along with extended fibrotic areas and scattered hyper-reflective cells, corresponding to dermal plasma cells. The general RCM features show a dermatofibroma-like pattern with inflammatory cells (f); cutaneous biopsy of one lesion showed dermal perivascular plasmocellular infiltrate, with mild remodeling of collagen bundles (Hematoxylin and eosin. ×100) (g).