The classical or multiple form was first described by Hoffmann and Zurhelle in the year 1921  as groups of multiple, nontender, soft, pedunculated, cerebriform, yellowish or skin-coloured papules
, nodules, or plaques.
The clinical presentation of SESD is usually indistinct, most frequently a papule
or a nodule on the face of adults (1-2, 4, 6, 9, 12).
The condition may sound relatively benign in dogs, but papules
can develop into painful lesions, hair loss or worse--a life-threatening staphylococcus infection.
John presented with papules
and nodules on his torso, legs and arms.
Singh SK, Tehseen M, Kalam A: Painless piezogenic pedal papules
in a patient with rheumatic heart disease: Indian J Dermatol Venereol Leprol 2002;68:107-8.
He had a cat scratch 9 days before; the skin papule
appeared 1 day before he sought treatment.
On day 6, the papules
had increased in number and size, and the patient was hospitalized.
Deer ked dermatitis consists of a few to 20-50 red papules
occurring mostly on the scalp, neck, and upper back.
as well as larger verrucous papules
and plaques were noted on the dorsum of hands, shins and feet (Fig 1, 2, 3).
In leprosy to differentiate between papule
and nodule is important.
A non-tender, nonpruritic eschar that measured 1 cm x 1 cm was visible on his right lower extremity (Figure 1) along with [approximately equal to]15 nontender, nonpruritic papules
on his torso, upper arms, and legs (Figure 2).