case_images: PMC3312656_01
case_images: Hyperpigmented and hypopigmented macules over dorsum of hands
case_images: IJD-57-42-g001.jpg
case_images: PMC3312656_01_IJD-57-42-g001.jpg
case_images: F1
case_images: A 10-year-old Indian boy presented with hyper and hypopigmented macules over the dorsa of hands and feet [Figure 1].
case_images: Hyperpigmented macules over both palms
case_images: IJD-57-42-g002.jpg
case_images: PMC3312656_01_IJD-57-42-g002.jpg
case_images: F2
case_images: There were hyperpigmented macules over both palms [Figure 2].
case_images: Freckle like macules over face
case_images: IJD-57-42-g003.jpg
case_images: PMC3312656_01_IJD-57-42-g003.jpg
case_images: F3
case_images: Freckle-like macules were present on his face that were not as numerous as hands and feet [Figure 3].
case_images: Mottled pigmentation over buttocks
case_images: IJD-57-42-g004.jpg
case_images: PMC3312656_01_IJD-57-42-g004.jpg
case_images: F4
case_images: His detailed examination revealed melanotic macules on the surface of axillaries and over the buttocks. [Figure 4].
case_images: PMC3312656_02
case_images: Biopsy from hyperpigmented macule showing abundance of melanocytes in basal layer and the presence of melanocytes in other epidermal layers (H and E stain, x400)
case_images: IJD-57-42-g005.jpg
case_images: PMC3312656_02_IJD-57-42-g005.jpg
case_images: F5
case_images: Biopsy from hypopigmented macule showed much less melanocytes [Figures 5 and 6].
case_images: Biopsy from hypopigmented macule showing relatively less melanocytes (H and E stain, x400)
case_images: IJD-57-42-g006.jpg
case_images: PMC3312656_02_IJD-57-42-g006.jpg
case_images: F6
case_images: Biopsy from hypopigmented macule showed much less melanocytes [Figures 5 and 6].