REPORT OF A CASE
A 39-year-old woman presented for treatment of asymptomatic skin lesions. The first lesion was noted nine years ago on the upper part of her right thigh, and the number of lesions has steadily increased since that time. Rarely has a lesion disappeared spontaneously. They appear darker in the summer despite recent minimal sun exposure. There is no associated pain or itching.The patient always burns and never tans. She has always resided in Worcester, Mass, and has always worked indoors. Significant leisure-time sun exposure included visits to the beach approximately every other summer weekend until ten years ago, but none since, and there has been no vacation with significant sun exposure. There is no family history of similar problems. Previous unsuccessful attempts at treatment of individual lesions have included trichloroacetic acid, 5% fluorouracil cream, and cryotherapy.Physical examination revealed discrete and widespread, oval, tan lesions, 0.5
Weinstock MA, Olbricht SM, Arndt KA, Kwan TH. Well-Demarcated Papules and Plaques in Sun-Exposed Areas. Arch Dermatol. 1987;123(8):1076a–1076b. doi:10.1001/archderm.1987.01660320119027
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