Nasal Lesion in a Child

The patient is a 30 month old girl with a 15 month history of a papule on the left ala nasi. Her father has Hereditary Leiomyoma Renal Cell Carcinoma syndrome (HLRCC) and the patient is positive for the gene. The question is whether this papule is a possible sign of the HLRCC syndrome or an unrelated entity.

The tumor is 3-4 mm in diameter and has been growing very slowly. The child is in good general health otherwise. The lesion is red in color, regular in outline. Clinical and dermoscopic pictures are presented. (I am new to dermascopic photography and it was difficult to focus on this area in a cooperative but somewhat squirmy child.)

Your thoughts will be appreciated.