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April 1980

Zosteriform Lentiginous Nevus

Author Affiliations

From the Department of Medicine, Division of Dermatology (Drs Ruth and Jegasothy) and the Department of Pathology (Dr Shelburne), Duke University Medical Center, and the Veterans Administration Hospital, Durham, NC.

Arch Dermatol. 1980;116(4):478. doi:10.1001/archderm.1980.01640280114034

Zosteriform lentiginous nevus, a pigment disorder of small brown macules in a dermatomal distribution, was first reported in 1904.1 Since then, six additional cases have been reported.2-4 We describe another patient with the nevus.

Report of a Case  A 58-year-old man's condition was evaluated for a nonsymptomatic pigmented lesion on his left shoulder and trunk. He could not date the onset of these "freckles." Sunlight exposure did not darken the lesions or alter their distribution. There was no personal or family history of neurologic or psychiatric disturbance. On physical examination, the lesion involved the skin of the left, anterior part of the chest, shoulder, and scapula with extension down the ulnar surface of the arm, corresponding to dermatomes C4 through T5 (Fig 1). The nevus ended abruptly at the midline. Scattered diffusely within the involved area were numerous 4- to 10-mm nonhairy macules light to dark brown. There

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