Red in the Face

A young mother of 2 brings her daughters to you for symptoms of URI. You are immediately struck by the mother’s highly ruddy complexion. On closer examination you note papular lesions that are flesh-colored with an erythematous, almost vascular base, like telangiectasia, located predominatlely on the cheeks and chin and in the nasolabial folds. Both children exhibit not erythematous but rather hypopigmented oval lesions on the extremities. There is also a history of seizure disorders in the family.