Papular acrodermatitis, see color plates 1, 6, and 12.Papular acrodermatitis is more common in clinical practice, occurring in 186 of the authors' 574 cases of acrodermatitis, or 32.4%. Papular acromegaly damage begins as a pinpoint-sized papule that gradually grows to vary in size from corn, mung bean, soybean, or fava bean. These papules are elevated on the surface of the skin and mucous membranes and have a flat or semicircular tip. Damage often occurs more than one or a single began to gradually increase, the papules can be fused with each other into patches, some form a cord or band or wheat ears. Roughly, the surface of the damage is smooth, but if you look closely or use a magnifying glass to observe, the surface of the damage is rough and uneven, and when you use a cotton swab to rub it with a little force, part of the damage may have a small amount of hemorrhage. The damage color is mostly light red, a few dark red or light brown or hyperpigmentation, individual is impregnated with gray-white. Papular acromegaly occurs in drier skin and mucous membranes such as the male penis, prepuce, glans, female labia major and minor, perineum and perianal skin.