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June 1981

Basal Cell Epithelioma With a Hypopigmented Halo

Author Affiliations


East Sussex, England

Arch Dermatol. 1981;117(6):317. doi:10.1001/archderm.1981.01650060005007

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To the Editor.—  We read with great interest in the March Archives (1980;116:352-353) the description by Johnson and Ceilley of a pigmented basal cell epithelioma surrounded by a zone of hypopigmentation. We have recently seen two similar cases.

Report of Cases.—Case 1.—  A 74-year-old woman was referred to us because of a pigmented lesion on her leg that had been present for a year. It crusted repeatedly and failed to heal. She had applied a clobetasol propionate ointment, which produced some symptomatic relief. Otherwise, she was in good health. She had lived in India for three years in her youth.On examination, there was an annular pigmented plaque, 18 × 10 mm, on the anterolateral aspect of the right leg. The edge was raised, rolled, and gray-brown, and there was a surrounding halo of hypopigmentation 1 to 2 cm wide. Histologic characteristics of the lesion after excision confirmed that it

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