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Yue Yu, MD, PhD; Smita Sukhatme, BS; Daniel S. Loo, MD

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Report of a Case

A 1-year-old healthy Asian American girl presented with a 4-month history of white spots, increasing in number and size, in the inguinal and buttocks region. Physical examination revealed numerous 3- to 8-mm oval, hypopigmented macules and flat-topped papules in the suprapubic (Figure 1), genital, and buttocks regions. Similar lesions were scattered over the chest and bilateral axilla. Hair, nails, and teeth were normal.

Figure appears in full text version. Figure 1. Multiple hypopigmented macules and flat-topped papules in the suprapubic area.

A skin biopsy specimen revealed mild epidermal hyperplasia with clear cells scattered predominantly around basal keratinocytes (Figure 2A). Immunohistochemically, the clear cells stained positive for cytokeratin 7 (CK-7) (Figure 2B), cell adhesion molecule 5.2 (CAM-5.2), carcinoembryonic antigen (CEA), keratins AE-1 and AE-3, epithelial membrane antigen (EMA), and gross cystic disease fluid protein 15; the cells also showed positive . . . [Full Text of this Article]

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