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2016:82:5;585-586
doi: 10.4103/0378-6323.184201
PMID: 27320767

Multiple hypopigmented macules on the face

Asit Mittal1 , Chesta Agrawal1 , Manisha Balai1 , Rajiv Joshi2
1 Department of Dermatology, Venereology and Leprology, RNT Medical College, Udaipur, Rajasthan, India
2 Department of Dermatology, P.D. Hinduja Hospital and Medical Research Centre, Mumbai, Maharashtra, India

Correspondence Address:
Asit Mittal
Department of Dermatology, Venereology and Leprology, RNT Medical College, Udaipur - 313 001, Rajasthan
India
How to cite this article:
Mittal A, Agrawal C, Balai M, Joshi R. Multiple hypopigmented macules on the face. Indian J Dermatol Venereol Leprol 2016;82:585-586
Copyright: (C)2016 Indian Journal of Dermatology, Venereology, and Leprology

A 48-year-old man presented with a 10-year history of asymptomatic, hypopigmented lesions on the face which were initially small and gradually increased in number and size. Physical examination revealed approximately twenty, similarly sized, round to angulated, hypopigmented macules on the beard area and neck [Figure - 1]a and [Figure - 1]b. The clinical differential diagnoses included pityriasis versicolor, pityriasis alba, idiopathic guttate hypomelanosis, progressive macular hypomelanosis and epidermodysplasia verruciformis. Skin biopsy from one of the lesions revealed dilated follicular infundibula connected to each other and the overlying epidermis by a broad plate-like proliferation of cells that resembled isthmic epithelium with pale pink cytoplasm [Figure - 2] and [Figure - 3].

Figure 1: (a) Multiple, discrete, round to angulated, hypopigmented macules in the beard area. (b) Close up view of hypopigmented macules
Figure 2: Dilated follicular infundibula connected to each other (H and E, ×10)
Figure 3: Broad plate-like proliferation of cells that resemble isthmic epithelium with pale pink cytoplasm (H and E, ×40)

What Is Your Diagnosis?



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