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Perspectives on dermoscopy

Dark follicular orifices

Steven Kossard

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Abstract

Solar lentigines may have pseudoglobular dark follicular orifices in patients using self-tanning lotions.

Article Extract

Case presentation

A 78-year-old woman presented with a lesion on her left cheek. It had been frozen nine years before the consultation and had subsequently recurred. The sharply demarcated lesion was dark tan and measured 2 cm x 1 cm (Figure 1). Dermatoscopy revealed multiple dark follicular orifices resembling pigment globules (Figure 2). These varied in size, and many were patulous. The surrounding background lesion had an orange–brown hue and a scalloped border. There was no pigment network visible. Skin biopsy revealed a hyperpigmented epidermis, but the number of melanocytes was normal and there was no atypia (Figure 3).

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