preferred_name: Mulitple papules (1-2 mm skin colored and hyperpigmented)
preferred_name_lc: mulitple papules (1-2 mm skin colored and hyperpigmented)
label: Mulitple papules (1-2 mm skin colored and hyperpigmented)
label_lc: mulitple papules (1-2 mm skin colored and hyperpigmented)