Dermatology clinic

Lifelong irregular pale patches

Dermatology clinic

Lifelong irregular pale patches

Steven Kossard

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Abstract

A man presents with a lifelong history of asymptomatic irregular pale patches on his shoulder and back. What is the diagnosis?

Article Extract

Case history

A 32-year-old man had a lifelong history of a series of asymptomatic, irregular, pale patches concentrated on his left upper shoulder and back. There was no associated scaling, and the surrounding skin had a pink blush. Stroking of the skin failed to elicit dermographism or a flare within the pale patches. No skin biopsy was obtained.