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Figure 1 (Case 1): (a) Facial photograph showing tiny (0.5 to 1 mm sized) pigmented pitted scars, and macules- more scattered over nose, eyelids and forehead and grouped over cheeks near the nasolabial folds (b) Back shows hyperpigmented pitted scars over background of ichthyosis. (c) Skin biopsy from hyperpigmented macule over cheek showing pigmented fi liform and branching rete pegs originating at the follicular infundibulum with many epidermal horn cysts. Interfollicular epidermis is essentially normal (H and E, ×100)

Figure 1 (Case 1): (a) Facial photograph showing tiny (0.5 to 1 mm sized) pigmented pitted scars, and macules- more scattered over nose, eyelids and forehead and grouped over cheeks near the nasolabial folds (b) Back shows hyperpigmented pitted scars over background of ichthyosis. (c) Skin biopsy from hyperpigmented macule over cheek showing pigmented fi liform and branching rete pegs originating at the follicular infundibulum with many epidermal horn cysts. Interfollicular epidermis is essentially normal (H and E, ×100)