Pigmented Macules on Cheek and Neck

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© Springer Nature Switzerland AG 2020
S. Kothiwala et al. (eds.)Clinical Cases in Disorders of MelanocytesClinical Cases in Dermatologyhttps://doi.org/10.1007/978-3-030-22757-9_23



23. Deeply Pigmented Macules on Cheek and Neck



Anup Kumar Tiwary1  


(1)
Department of Dermatology, Subharti Medical College, Meerut, Uttar Pradesh, India

 



 

Anup Kumar Tiwary


Keywords

JunctionalMelanocytic neviTheques


A 12-year-old boy came in dermatology department presenting with multiple, small, asymptomatic dark lesions on his right cheek and neck for past 2 years. The lesions appeared spontaneously without any history of trauma or dermatoses and have been static in size for past 1 year. The color remained same. No family history was present. On examination, there were three brown-black, well defined, macules of 3–4 mm size on right cheek (Fig. 23.1). Similar solitary brownish-black macule of about 4 × 3 mm size was noted on his neck on left side (Fig. 23.2). On dermoscopy, all lesions showed similar finding- multi-component pattern with peripheral reticular pigment network with blotchy pigmentation and pigmented globules in the centre (Fig. 23.3). Histopathology demonstrated nests of cuboidal melanocytes at the dermoepidermal junction, mainly located on the rete ridges.

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Figure 23.1

Deeply pigmented small size macules on right cheek (Courtesy: Dr. Piyush Kumar)


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Figure 23.2

Deeply pigmented small size macule on neck (Courtesy: Dr. Piyush Kumar)


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Figure 23.3

Dermoscopic image showing multi-component pattern with peripheral reticular pigment network with central blotchy pigmentation and pigmented globules (Courtesy: Dr. Piyush Kumar)


Mar 23, 2021 | Posted by in Dermatology | Comments Off on Pigmented Macules on Cheek and Neck

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