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Wednesday 24 April 2024

Peer Reviewed

Dermatology clinic

Asymptomatic hypopigmented rash

Steven Kossard

Recent articles on:
Skin pigmentation disorders

A woman with a scaly inguinal plaque

New symmetrical hyperpigmented patches of skin

New symmetrical hyperpigmented patches of skin

A child with sudden onset of dry, hyperpigmented skin

Hypopigmented and scaly lesions on a boy’s cheek

Recent articles on:
Skin lesions

A widespread erythematous targetoid eruption

‘I plucked a hair out of my mole’ – an enlarging ulcerated nodule

An asymptomatic annular plaque on the forehead

A widespread erythematous targetoid eruption

A woman with a pruritic perianal plaque

Abstract

A man has recurrent, hypopigmented scaly lesions on his trunk. What are these lesions and how should they be treated?

Key Points

A 34-year-old man had a history of recurrent, asymptomatic, hypopigmented scaly lesions on his trunk. The hypopigmentation was more prominent in summer because the lesions failed to tan (Figure 1). Skin biopsy showed multiple spores and hyphae in the stratum corneum (Figure 2).