Using erasers, tissue and paper stumps for background texture draw the eye to the contrasting tones of the smooth skin. Sanguine on toned paper is slow, but worth the effort. I spend over three hours ...

Skin examination showed an 8 mm × 10 mm irregularly shaped two-toned brown papule with ill-defined light brown to pink medial and lower borders, and a dark-brown central area localized to the ...