A 4-year-old unvaccinated child presents with 3 days of high-grade fever (40.1°C), intense cough, profuse rhinorrhea, and bilateral non-purulent conjunctivitis with photophobia. On oral examination, the structure marked **A** is identified—small 1–3 mm blue-white papules with surrounding erythema on the buccal mucosa opposite the lower second molar. The child has not yet developed the characteristic cutaneous rash. Which clinical finding is most accurately described by the structure marked **A**?
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