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August 1991

Scaly Atrophic Lesions Both Scattered and in Linear Arrays

Author Affiliations

North Carolina Memorial Hospital, Chapel Hill

Arch Dermatol. 1991;127(8):1219-1220. doi:10.1001/archderm.1991.01680070119019

REPORT OF A CASE  A 30-year-old woman presented with scattered, subtle red spots on her right upper extremity that had developed over the previous year. These spots were not tender or pruritic and exhibited no tendency for spontaneous resolution.This patient was particularly concerned that these lesions might continue to develop, because she had a far more extensive eruption in linear groups confined to the left side of her body. This latter eruption developed at age 6 months and had remained stable since. It was asymptomatic, except for its cosmetic implications. Besides the eruptions, she was in good health.The physical examination was notable for scattered erythematous, slightly atrophic maculae confined to the sun-exposed right upper extremity (Fig 1). A faint keratotic rim was visible around portions of the lesions. The left side of the trunk and the left upper and lower extremities had far more extensive linear groups of

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