case_images: PMC9910530_01
case_images: Multiple 1-2 mm disseminated hypopigmented macules, flat topped round papules on otherwise normal skin (over forehead, back, neck, bilateral knees and dosral surface of hands and forearms)
case_images: IDOJ-14-83-g001.jpg
case_images: PMC9910530_01_IDOJ-14-83-g001.jpg
case_images: idoj_320_22-f001
case_images: On examination, the lesions were small, well-defined, hypopigmented, flat-topped patches, papules, and plaques that appeared in a consistent pattern over the trunk and extremities [Figure 1].
case_images: Isomorphic phenomenon on the left foot
case_images: IDOJ-14-83-g002.jpg
case_images: PMC9910530_01_IDOJ-14-83-g002.jpg
case_images: idoj_320_22-f002
case_images: Lesions on the left foot and upper back showed koebnerization [Figure 2 and 3].
case_images: Isomorphic phenomenon on the neck and upper back
case_images: IDOJ-14-83-g003.jpg
case_images: PMC9910530_01_IDOJ-14-83-g003.jpg
case_images: idoj_320_22-f003
case_images: Lesions on the left foot and upper back showed koebnerization [Figure 2 and 3].
case_images: Epidermis with mild hyperkeratosis (H&E 4x)
case_images: IDOJ-14-83-g004.jpg
case_images: PMC9910530_01_IDOJ-14-83-g004.jpg
case_images: idoj_320_22-f004
case_images: Histopathological section examined showed ortho-hyperkeratosis, irregular acanthosis, sporadic papillomatosis, and few vacuolated keratinocytes with unaltered melanocyte count [Figure 4 and 5].
case_images: Hperkeratosis, orthokeratosis, mild papillomatosis, vacuolated keratinocytes, and normal amount of melanin (H&E 10x)
case_images: IDOJ-14-83-g005.jpg
case_images: PMC9910530_01_IDOJ-14-83-g005.jpg
case_images: idoj_320_22-f005
case_images: Histopathological section examined showed ortho-hyperkeratosis, irregular acanthosis, sporadic papillomatosis, and few vacuolated keratinocytes with unaltered melanocyte count [Figure 4 and 5].