case_images: PMC5422500_01
case_images: Freckle-like brown macules and erythematous, indurated plaques with adherent scales.
case_images: imcrj-10-149Fig1.jpg
case_images: PMC5422500_01_imcrj-10-149Fig1.jpg
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case_images: On examination, she had multiple erythematous, indurated plaques with adherent scales on some lesions over the cheeks and lips (Figure 1).
case_images: Reticulate hyperpigmented and hypopigmented macules on neck and upper chest.
case_images: imcrj-10-149Fig2.jpg
case_images: PMC5422500_01_imcrj-10-149Fig2.jpg
case_images: f2-imcrj-10-149
case_images: There were extensive freckle-like brown macules on her face, neck, and upper chest (Figure 2).
case_images: Reticulate hyperpigmented and hypopigmented macules on dorsa of hands.
case_images: imcrj-10-149Fig3.jpg
case_images: PMC5422500_01_imcrj-10-149Fig3.jpg
case_images: f3-imcrj-10-149
case_images: Moreover, she had both reticulated hyper-and hypopigmented macules over upper and lower limbs, especially over the dorsa of her hands and feet (Figure 3).
case_images: Discoid-like patch over the scalp.
case_images: imcrj-10-149Fig4.jpg
case_images: PMC5422500_01_imcrj-10-149Fig4.jpg
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case_images: Scalp examination revealed a 2x1 cm, hairless plaque and decreased hair density all over her scalp (Figure 4).
case_images: H&E stain, original magnification x400.. Note: Biopsy specimen taken from a hyperpigmented macule shows abundance of melanin pigment in keratinocytes and melanocytes and a few scattered melanophages.. Abbreviation: H&E, hematoxylin and eosin.
case_images: imcrj-10-149Fig5.jpg
case_images: PMC5422500_01_imcrj-10-149Fig5.jpg
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case_images: For the histopathological examination, biopsies were taken from both hypo- and hyperpigmented lesions (Figures 5 and 6).
case_images: H&E stain, original magnification x200.. Note: Biopsy specimen taken from a hypopigmented macule shows reduced melanin and number of melanocytes.. Abbreviation: H&E, hematoxylin and eosin.
case_images: imcrj-10-149Fig6.jpg
case_images: PMC5422500_01_imcrj-10-149Fig6.jpg
case_images: f6-imcrj-10-149
case_images: For the histopathological examination, biopsies were taken from both hypo- and hyperpigmented lesions (Figures 5 and 6).