Dermoscopy to distinguish idiopathic guttate hypomelanosis from guttate lichen sclerosus flare

Guttate lichen sclerosus (LS), a rare variant of extragenital LS, is an inflammatory disorder classically presenting with whitish patches and nodules coalescing into plaques. Idiopathic guttate hypomelanosis (IGH) is a benign, typically asymptomatic idiopathic leukoderma that presents with multiple...

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Bibliographic Details
Main Authors: Rebecca H. Goldberg, Naomi F. Briones, Trilokraj Tejasvi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-05-01
Series:Pigment International
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Online Access:https://journals.lww.com/10.4103/pigmentinternational_76_21
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Summary:Guttate lichen sclerosus (LS), a rare variant of extragenital LS, is an inflammatory disorder classically presenting with whitish patches and nodules coalescing into plaques. Idiopathic guttate hypomelanosis (IGH) is a benign, typically asymptomatic idiopathic leukoderma that presents with multiple round or oval porcelain-white macules on sun-exposed areas, especially the forearm extensor surface and shins. In this study, we report a case of IGH mimicking guttate LS in a patient, highlighting the importance of dermoscopic evaluation in the diagnosis of hypopigmented skin lesions in patients with skin of color.
ISSN:2349-5847