Idiopathic Eruptive Macular Pigmentation

A 9-year-old girl presented with multiple, asymptomatic pigmented skin eruptions over the trunk and face which had been present for3 months. There was no prior history of skin lesions or relevant drug intake Cutaneous examination revealed multiple discrete, dark brown, round-to-oval macules, patches (0.5 to 2 cm in diameter) and flat-topped velvety plaques over the trunk, back, face and extremities sparing the palms and soles (Figure). Lesional Darier sign was negative. The remainder of the mucocutaneous sites and systemic examination was negative.

Source: The Journal of Pediatrics - July 30, 2020 Category: Pediatrics Authors: Dibyendu Bikash Bhanja, Abheek Sil, Surajit Kumar Biswas Tags: Rediscovering the Physical Exam Source Type: research