Peer Reviewed
Dermatology clinic

Pigmented rugose axillae

Steven Kossard
Abstract
A middle-aged man develops sudden progressive hyperpigmentation of his axillae and groins associated with a rugose surface. What is the diagnosis?
Key Points

    A 54-year-old man suddenly developed progressive hyperpigmentation of his axillae (Figure 1) and groins associated with a rugose surface. Skin biopsy showed a papillomatosis epidermis with a mildly pigmented basal layer and a loose, laminated stratum corneum (Figure 2).

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