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Perioral and Acral Lentigines in an African American Man
Dina Began, MD;
Ginat Mirowski, DMD, MD
Indiana University School of Medicine, Indianapolis
Arch Dermatol. 2000;136:417-422.
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REPORT OF A CASE
A 67-year-old African American man was referred for evaluation of an incidental finding of pigmented maculae on his oral mucosa. The patient had not previously been aware of this pigmentation and could not assess its duration. The patient's medical history was notable for heavy alcohol and tobacco consumption, osteoarthritis, hypertension, and esophageal reflux. He denied any history of melena, anemia, or gastrointestinal bleeding. His medications included cimetidine and naproxen. He denied any family history of pigmentary abnormalities or polyposis.
Physical examination revealed numerous smooth, dark-brown–black and bluish black pigmented maculae of irregular outline on the hard palate, buccal mucosa, gingiva, and inner vermilion border of both lips (Figure 1). The midline on the vermilion border of his lower lip had an area of hypertrophy that was probably due to trauma, with subsequent scar formation. There was a brown-black macule on his . . . [Full Text of this Article]
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