MSRACLIN2-027

Clara is a three year old girl who has been brought to see you by her mother Gloria, who has noticed some spots on her neck and tummy. Gloria reports that they have been present for the last 2 – 3 months. Generally, they do not cause any bother but on occasion Clara picks at them. Clara has no significant medical history, she is up to date with immunisations and meeting her developmental milestones. On examination, there are eight dome shaped papules, approximately three millimetres in diameter with central umbilication located on Clara’s neck and chest. There is no evidence of secondary infection and the rest of the skin is normal. Gloria is wondering if there is anything that can be done to get rid of the spots.

Based on the likely diagnosis, what is the most appropriate course of action?

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