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A 46-Year-Old Man With a 4-Year History of Diffuse Brownish Black Pigmentation
Giuseppe Micali, MD;
Andrea G. Di Stefano, MD;
Maria Rita Nasca, MD;
Maria Letizia Musumeci, MD
Clinica Dermatologica, University of Catania, Catania, Italy
Arch Dermatol. 1998;134:97-102.
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REPORT OF A CASE
A 46-year-old white man whose parents were consanguineous presented with diffuse brownish black hyperpigmentation that had appeared 4 years earlier. Physical examination revealed partially coalesced, grayish blue papules on the dorsal and lateral aspects of the first and second fingers of both hands (Figure 1). His ears were mottled, with grayish blue nodules, 1 to 2 mm in diameter, on the right helix and tragus and on the left anti-helix and concha (Figure 2). His eyes showed a brownish black scleral pigmentation, with an ovoid macule at the site of the rectus muscle insertion (Figure 3).
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Figure 1.
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Figure 2.
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Figure 3.
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There was no known history of exposure to topical medications containing phenol, phenolic compounds, benzoquinone, or hydroquinone. He also denied taking antimalarial and chemotherapeutic agents as . . . [Full Text of this Article]
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