Acquired dermal melanocytosis of the face and extremities.

Abstract:

:Acquired dermal melanocytosis (ADM) is a relatively rare, but well-described disease among adolescent to middle-aged East Asian women, particularly those of Japanese and Chinese descent. Clinically, ADM manifests as multiple punctate and greyish-brown pigmented areas 1-3 mm in diameter occurring on both sides of the forehead and zygomatic region. The subtype of ADM affecting the face and extremities is extremely rare even in East Asian women. We describe three patients with ADM of the face and extremities (ADMFE) and their characteristic clinical features. All patients were Japanese women, and showed multiple greyish-brown pigmentations on both nasal wings and on the extensor surface of the extremities. We found that the clinical features were strikingly uniform, and that a pigmented lesion on the nasal wing can be an important clue to distinguish ADMFE from other hyperpigmented diseases of the hands and feet. One patient was treated with Q-switched ruby laser with excellent outcome. Increased awareness of ADMFE can lead to earlier diagnosis and potential treatment.

journal_name

Clin Exp Dermatol

authors

Ouchi T,Ishii K,Nishikawa T,Ishiko A

doi

10.1111/ced.12867

subject

Has Abstract

pub_date

2016-08-01 00:00:00

pages

643-7

issue

6

eissn

0307-6938

issn

1365-2230

journal_volume

41

pub_type

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