Peer Reviewed
Dermatology clinic

Lifelong irregular pale patches

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

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