A white man attended our outpatient clinic because of soft papules on the second finger of the left hand. They were livid red-colored, warty surfaced cysts, 1-2 cm in diameter, arranged in an annular configuration (Fig. 1). The patient showed prominent zygomatic bones and symmetric loss of buccal fat pads (Bichat's fats), leading to sunken cheeks (Fig. 2). The history of the patient could not be taken because of his debility.