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JAMA Dermatology Clinicopathological Challenge
October 2016

Hypopigmented Macules on the Face and Neck of a Man

Author Affiliations
  • 1Department of Dermatology, Instituto Valenciano de Oncología, Valencia, Spain
JAMA Dermatol. 2016;152(10):1155-1156. doi:10.1001/jamadermatol.2016.2141

A man in his 40s presented with a 2-year history of multiple asymptomatic lesions on the face and neck. The lesions were round, hypopigmented macules and were symmetrically distributed in the affected area. The patient reported that the macules had appeared on his cheeks 2 years earlier and had gradually coalesced (Figure). The size of the lesions ranged from approximately 2 to 3 mm to 25 mm in diameter. There was no hair growth at the site of the lesions, and the patient reported no symptoms. He was treated for tinea versicolor, without success. A skin biopsy was performed to rule out some kind of morphea.

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