A 45-year-old man was referred to a dermatology clinic in India with a 1-year history of asymptomatic white lesions on his chest and right arm. A review of systems was positive for blood in his sputum. Physical examination revealed several variably sized hypopigmented and atrophic macules with central erythema located on his chest (Figure 1), right arm (Figure 2), nasal tip, and bilateral medial canthi. There was no scale or ulceration.
Verma S, Patterson JW, Derdeyn AS, Pasale R, Patel D, Ganju A. Hypopigmented Macules in an Indian Man—Quiz Case. Arch Dermatol. 2006;142(12):1643-1648. doi:10.1001/archderm.142.12.1643-c