NEW YORK ACADEMY OF MEDICINE DEPARTMENT OF DERMATOLOGY AND SYPHILOLOGY
Nov 4, 1969
Melanotic Freckle of Hutchinson. Presented by S. Frank, MD, and T. Trunnell, MD.
A 48-year-old white man presented himself to the Skin and Cancer Clinic in July 1968 with a brown spot on his left cheek, first noticed five years previously. It has enlarged and darkened since then.Examination revealed a mottled brown macule measuring 2.5 cm on the left cheek. A dark brown macule measuring 3 mm and apparently of recent development was within the larger macule. The clinical diagnosis was melanotic freckle of Hutchinson.At a tumor conference, treatment of the lesion by x-rays after confirmation by biopsy was recommended. Three biopsies of the macule were read as junctional nevus and melanotic freckle of Hutchinson. The patient was treated from Sept 18, 1968, to Oct 4 with five treatments of 2,000 rads each for a
Society Transactions. Arch Dermatol. 1971;103(4):456-459. doi:10.1001/archderm.1971.04000160106018