Hutchinson's Melanotic Nevus. Presented by Frank E. Cormia, M.D.
History: A 54-year-old housewife has always enjoyed good health. Twenty years ago, during the course of her last pregnancy, she noted a light brown patch anterior to the left malar region. Over the years, the patch has remained approximately the same in size (3 cm. in diameter), and has become irregularly darker in color.Examination: There is a smooth, flat, hyperpigmented patch anterior to the left malar region. It varies in color from medium brown to nearly black.Laboratory: The biopsy findings are as follows: There is considerable junctional nevus activity, consisting of hyperpigmentation and thecas, and many isolated clear cells. In the upper cutis, there are many heavily pigment-laden cells, arranged in clumps. There is no suggestion of malignancy, and no inflammatory reaction of any significance.Presented for confirmation of diagnosis and suggestions for therapy.
Dr. Traub: Perhaps I
Miller JL, Cormia FE. NEW YORK DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1960;81(2):322–325. doi:10.1001/archderm.1960.03730020158027
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