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Article
June 1991

Disseminated Hypopigmented Keratoses

Author Affiliations

From the Department of Dermatology, The Johns Hopkins University School of Medicine, Baltimore, Md.

Arch Dermatol. 1991;127(6):848-850. doi:10.1001/archderm.1991.01680050092010
Abstract

• We present two cases of asymptomatic, widespread keratotic eruptions in young female patients. Clinically, the lesions are well-demarcated, small, hypopigmented, flattopped papules occurring on the trunk and extremities in a uniform distribution. Skin biopsy specimens from one patient revealed hyperorthokeratosis, papillomatosis, and a normal amount of melanin. We suggest that this is a newly recognized dermatologic entity that may be descriptively termed disseminated hypopigmented keratoses. Disseminated hypopigmented keratoses may be distinguished by clinical and histologic criteria from similar keratotic eruptions. Since the lesions of disseminated hypopigmented keratoses are both inconspicuous and asymptomatic, it is likely that the disorder is more prevalent than our two cases would suggest.

(Arch Dermatol. 1991;127:848-850)

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