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Year : 2016  |  Volume : 82  |  Issue : 5  |  Page : 585-586

Multiple hypopigmented macules on the face


1 Department of Dermatology, Venereology and Leprology, RNT Medical College, Udaipur, Rajasthan, India
2 Department of Dermatology, P.D. Hinduja Hospital and Medical Research Centre, Mumbai, Maharashtra, India

Date of Web Publication4-Aug-2016

Correspondence Address:
Dr. Asit Mittal
Department of Dermatology, Venereology and Leprology, RNT Medical College, Udaipur - 313 001, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0378-6323.184201

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How to cite this article:
Mittal A, Agrawal C, Balai M, Joshi R. Multiple hypopigmented macules on the face. Indian J Dermatol Venereol Leprol 2016;82:585-6

How to cite this URL:
Mittal A, Agrawal C, Balai M, Joshi R. Multiple hypopigmented macules on the face. Indian J Dermatol Venereol Leprol [serial online] 2016 [cited 2019 Aug 25];82:585-6. Available from: http://www.ijdvl.com/text.asp?2016/82/5/585/184201


A 48-year-old man presented with a 10-year history of asymptomatic, hypopigmented lesions on the face which were initially small and gradually increased in number and size. Physical examination revealed approximately twenty, similarly sized, round to angulated, hypopigmented macules on the beard area and neck [Figure 1]a and [Figure 1]b. The clinical differential diagnoses included pityriasis versicolor, pityriasis alba, idiopathic guttate hypomelanosis, progressive macular hypomelanosis and epidermodysplasia verruciformis. Skin biopsy from one of the lesions revealed dilated follicular infundibula connected to each other and the overlying epidermis by a broad plate-like proliferation of cells that resembled isthmic epithelium with pale pink cytoplasm [Figure 2] and [Figure 3].
Figure 1: (a) Multiple, discrete, round to angulated, hypopigmented macules in the beard area. (b) Close up view of hypopigmented macules

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Figure 2: Dilated follicular infundibula connected to each other (H and E, ×10)

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Figure 3: Broad plate-like proliferation of cells that resemble isthmic epithelium with pale pink cytoplasm (H and E, ×40)

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  References Top

1.
Alomari A, Subtil A, Owen CE, McNiff JM. Solitary and multiple tumors of follicular infundibulum: A review of 168 cases with emphasis on staining patterns and clinical variants. J Cutan Pathol 2013;40:532-7.  Back to cited text no. 1
    
2.
Cribier B, Grosshans E. Tumor of the follicular infundibulum: A clinicopathologic study. J Am Acad Dermatol 1995;33:979-84.  Back to cited text no. 2
    
3.
Kolivras A, Moulonguet I, Ruben BS, Sass U, Cappelletti L, André J. Eruptive tumors of the follicular infundibulum presenting as hypopigmented macules on the buttocks of two black African males. J Cutan Pathol 2012;39:444-8.  Back to cited text no. 3
    
4.
Kubba A, Batrani M, Taneja A, Jain V. Tumor of follicular infundibulum: An unsuspected cause of macular hypopigmentation. Indian J Dermatol Venereol Leprol 2014;80:141-4.  Back to cited text no. 4
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5.
Schnitzler L, Civatte J, Robin F, Demay C. Multiple tumors of the follicular infundibulum with basocellular degeneration. Apropos of a case. Ann Dermatol Venereol 1987;114:551-6.  Back to cited text no. 5
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