“…This clinical pattern raised clinically a broad differential diagnosis including several inflammatory diseases (granulomatous rosacea and persistent arthropod bite reactions), infectious diseases (cutaneous leishmaniasis), and lymphoproliferative diseases. In fact, rare cases of primary 15 and secondary 16 cutaneous follicular lymphoma, cutaneous CD30 + lymphoproliferative disorders, 17 primary cutaneous marginal zone B-cell lymphoma, 18 and papular B-cell pseudolymphoma (miliarial-type lymphocytoma cutis) 19,20 have been reported to present with multiple, miliary, and agminated papules.…”