A 36-year-old native Nigerian woman presented with a 20-year history of persistent and progressive skin lesions. There was no relevant family or personal history. Physical examination revealed hypopigmented macules with irregular borders on the patient's trunk (Figure 1) and hyperpigmented scaly papules on her face and neck (Figure 2). The physical examination findings were otherwise normal. A skin biopsy specimen was obtained from the trunk (Figure 3) and from a papule on the face (Figure 4).
Whittam LR, MacDonald DM, Calonje E, Breuer J, Spink P, Barker JNWN. Truncal Hypopigmented Macules and Facial Hyperpigmented Papules. Arch Dermatol. 2000;136(2):259-264. doi: