Proliferation of fibroblasts induced by reaction to insect bite/minor trauma
Aetiology
- More common in immunosuppressed patients
Clinical presentation
- Unchanging firm lesion, skin-coloured or brownish
- Occasionally itchy

Investigations
- Dermoscopy if uncertain - scar-like white centre
- Biopsy if still uncertainy
Management
- Completely benign - reassure, no excision required