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Contributor

Bernard Cohen, MD

Diagnosis

multiple lentigines syndrome lentigo nevus, pigmented, junctional

Body Site

total body back

Age

10 years

Pigmentation

light

Organization

scattered grouped, clustered

Color

brown

Morphology

macular / flat (macule / patch)

Pattern

generalized, disseminated symmetric central (centrifugal - trunk predominant)

Comments

At birth this 10-year-old boy was noted to have generalized brown macules associated with complex congenital malformations including anomalie of the gastrointestinal tract and central nervous system. The pigmented lesions gradually increased in number and many developed an elevated center. A biopsy of a macule showed a lentigo, while a papule showed the features of a junctional nevus. Although he did not satisfy criteria for diagnosis of multiple lentigines syndrome, the cutaneous lesions are undoubtedly a marker for a congenital malformation syndrome.

Description

multiple disseminated 1-3 mm dark brown macules and papules

Categories

genodermatosis/genetic disorder hyperpigmentation congenital malformation

Image Added

2/13/2005 10:33:12

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Other Resources

PubMed Medline Plus Medscape

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