Multiple Brown Patches on the Trunk—Quiz Case

Chiu, Melvin; Suh, Ki-Young; Pirouzmanesh, Aslan; Landau, Joseph W.

doi:10.1001/archdermatol.2010.320-a

Cited by 4 publications

(1 citation statement)

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“…Morphology included tan to dark brown as a descriptor in 33 cases, macules in 33 cases, and patches in 6 cases. [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] Biopsy 15 The underlying pathogenesis for IEMP remains unclear and several theories have been proposed. There may be a hormonal influence as it tends to present in children and adolescents most commonly during puberty.…”

Section: Case Reportmentioning

confidence: 99%

Idiopathic eruptive macular pigmentation in a pediatric patient and a review of the literature

Dhami,

Handfield,

Johnson

et al. 2023

Pediatric Dermatology

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Idiopathic eruptive macular pigmentation (IEMP) is a rare, benign, self‐resolving melanosis consisting of hyperpigmented macules typically on the face, trunk, and extremities that can occur in children and adolescents and often presents a diagnostic conundrum. We report a case involving an 8‐year‐old female whose previous clinical presentation was concerning for an atypical presentation of cutaneous mastocytosis or neurofibromatosis. The clinical and histopathologic evaluation was consistent with the diagnosis of IEMP, and no active intervention was pursued. Our accompanying literature review serves to better characterize this condition, highlight key diagnostic features, and emphasize the tendency for spontaneous resolution to avoid unnecessary treatments with limited clinical efficacy.

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Section: Case Reportmentioning

confidence: 99%

Idiopathic eruptive macular pigmentation in a pediatric patient and a review of the literature

Dhami,

Handfield,

Johnson

et al. 2023

Pediatric Dermatology

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Idiopathic eruptive macular pigmentation in a Chinese child

Wei-Feng

Ai-e

Chen

2015

Indian Dermatol Online J

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We present a case of a healthy 8-year-old boy who presented with disseminated asymptomatic brown macules on the face, neck, trunk, and proximal extremities for 3 months. Dermatologic examination revealed multiple, smooth, nonscaly, brown macules involving the face, neck, trunk, and proximal limbs. The Darier's sign was negative. Histopathologic study showed normal epidermis and basal membrane, and increasingly scattered melanophages in the papillary dermis. The final diagnosis was idiopathic eruptive macular pigmentation.

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Idiopathic Eruptive Macular Pigmentation: A Rare and an Under-reported Entity

Sharma¹

2018

J Clin Exp Dermatol Res

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Idiopathic eruptive macular pigmentation is an unfamiliar dermatological disorder which is characterized by the presence of multiple discrete asymptomatic brownish-black macules and flat plaques involving the face, neck, trunk, and proximal extremities especially in pediatric population. It is important to differentiate this uncommon entity from other pigmented dermatosis as it undergoes spontaneous resolution without any residual pigmentation or scarring and thus contraindicating any unnecessary aggressive therapeutic interventions. An experience of one such case in a 6-year-old Indian boy is being reported herewith so as to create awareness amongst the dealing physicians.

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Multiple Brown Patches on the Trunk—Quiz Case

Cited by 4 publications

References 0 publications

Idiopathic eruptive macular pigmentation in a pediatric patient and a review of the literature

Idiopathic eruptive macular pigmentation in a pediatric patient and a review of the literature

Idiopathic eruptive macular pigmentation in a Chinese child

Idiopathic Eruptive Macular Pigmentation: A Rare and an Under-reported Entity

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