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Cesare Massone, MD; Rainer Hofmann-Wellenhof, MD

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Report of a Case

A 51-year-old woman had a several-year history of multiple small brown macules confined to the external genital areas. Her family history was unremarkable, and she was otherwise healthy. She was not taking any drug.

The skin examination revealed asymptomatic, multiple, small, spotted and reticulated macules distributed symmetrically only on the external genitalia (Figure 1A). Similar lesions were not present at the flexures, and she stated that none of her family members had analogous lesions. The findings of a gynecologic examination were normal.

Figure appears in full text version. Figure 1. Clinical (A) and dermoscopic (B and C) images. A, Multiple small spotted and reticulated macules distributed symmetrically only on the external genitalia. B and C, Multiple hyperpigmented brownish spots with different dimensions characterized by a coarse grid of brown lines over a diffuse light-brown background.

Dermoscopy showed multiple hyperpigmented brownish spots with different dimensions but with a regular . . . [Full Text of this Article]

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