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Bryan E. Anderson, MD; Jeffrey J. Miller, MD; Christine L. Mackley, MD; Michael D. Ioffreda, MD
Penn State College of Medicine, Hershey, Pa

Arch Dermatol. 2003;139:657-662.

	Since this article does not have an abstract, we have provided the first 119 words of the full text and any section headings.

REPORT OF A CASE

A 21-year-old Iraqi woman presented with a 10-year history of progressive pigmentation of her hands, feet, and face, with sparing of the trunk. The condition was entirely asymptomatic but caused psychological distress, prompting her to cover the areas with clothing.

Physical examination showed finely reticulated, slightly atrophic, hyperpigmented macules, with intervening normal-appearing epidermis, on her face and neck and on the dorsal surface of her hands and feet. She had no palmar or plantar pits (Figure 1 and Figure 2).

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

A biopsy specimen was stained with hematoxylin-eosin (Figure 3).

Figure appears in full text version. Figure 3.

What is your diagnosis?

SECTION EDITOR: MICHAEL E. MING, MD

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A 21-Year-Old Woman With Progressive Reticulated Pigmentation of the Extremities—Diagnosis
Arch Dermatol. 2003;139(5):657-662.
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