A healthy 14-month-old boy presented with firm and grouped blue papules in the right mid area of the back and the right peri-anal area (Figure 1). The lesions first appeared when the boy was a 6- or 9-month old, gradually increasing in number to a total of six lesions. The child was delivered full-term with no complications, had no medical issues, and no personal or family history of gastrointestinal bleeding or anemia.