Skin Lesions (Assessment & Diagnosis) — 20yo Man | Dermatology | MCCQE1 Q#13604

MCCQE1 Question #13604

Dimension of Care

Chronic Care

Activity

Assessment & Diagnosis

Objective

Skin Lesions

Section

Medicine / Family Medicine

Subject

Dermatology

Last updated: February 2026
A 20-year-old man presents with multiple, asymptomatic “spots” on his trunk and limbs that he first noticed 6 weeks ago. He has no systemic symptoms and takes no medications. Over the past year, he has also noticed several “small lumps” under the skin that have slowly increased in number. Examination shows more than six well-demarcated light-brown macules on the torso and limbs, several larger than 2 cm. There are multiple soft, flesh-coloured, compressible subcutaneous nodules on the torso and upper arms, without scale or depigmentation. What is the most likely diagnosis?
Full answer analysis and choices are available inside the practice session.