Angiokeratoma circumscriptum. This vascular ectasia may be present at birth but has been reported to develop in childhood and even adulthood. There is a higher incidence in females. Lesions are most commonly found on the lower extremities but may be found elsewhere. Lesions consist of small nodules or larger plaques characterized by a dark red to purple color and a warty, hyperkeratotic scale sometimes in a linear distribution. These lesions may bleed when traumatized.
Auricular tags. Supernumerary vestiges of the external structures of ears are common. Accessory tragi and auricular tags with or without communication to deeper structures may be deceptively simple. Those in this photograph are probably harmless nubs of tissue that could be sliced off and their bases delicately electrodesiccated. Should that be all there is, the cosmetic result would be fine. Sometimes, however, such structures bear cartilage within them and have communication to uncertain depths toward the more important structures in the external canal or middle ear.