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A 1-year-old healthy Asian American girl presented with a 4-month history of white spots, increasing in number and size, in the inguinal and buttocks region. Physical examination revealed numerous 3- to 8-mm oval, hypopigmented macules and flat-topped papules in the suprapubic (Figure 1), genital, and buttocks regions. Similar lesions were scattered over the chest and bilateral axilla. Hair, nails, and teeth were normal.
Yu Y, Sukhatme S, Loo DS. Clear Cell Papulosis: A Connection of Clear Cells to Toker Cells or Paget Disease. Arch Dermatol. 2009;145(9):1066-1068. doi:10.1001/archdermatol.2009.197