Hyperpigmented plaque on the sole

Hyperpigmented plaque on the foot of a Kenyan patient.

A middle-aged lady with an asymptomatic, hyperpigmented plaque on the thigh: what is your diagnosis?

CLINICAL PRESENTATIONA 44-year-old lady came to a dermatology clinic due to an asymptomatic, hyperpigmented plaque on her right thigh since 4 months ago. On physical exam, hypertrichosis on the lesion was notable (Figure 1). Rubbing the lesion resulted in erythema and edema of the lesion. She had no systemic disease and her family history was unremarkable.

Hyperpigmented Plaques on the Feet.

Previously published Photo Quizzes are now featured in a mobile app. Get more information at http:// www.aafp.org/afp/apps. A 33-year-old man presented with asymptomatic blue-gray lesions on both feet. The lesions started developing six months earlier, getting darker and larger over time. He was using naproxen, tretinoin cream (Retin-A), and oral minocycline (Minocin). Physical examination reve...

Acquired hyperpigmented lesion on the foot

case: A 3.5-year-old girl presented with a 1-year history of a slow growing pigmented lesion on the dorsal aspect of her right foot. Physical examination revealed the presence of a pigmented patch with color distribution from pink to tan to dark brown, relatively well circumscribed and approximately 1.5 × 2cm with irregular borders, and especially a single dark central papule superimposed...

Large hyperpigmented nodule on the leg.

Dr. Wetzel is from the Division of Dermatology, Department of Internal Medicine, University of Louisville School of Medicine, Kentucky. Drs. Tjarks and Knutson are from the Sanford School of Medicine at the University of South Dakota, Sioux Falls. Dr. Tjarks is from the Department of Pathology, and Dr. Knutson is from the Division of Dermatology, Department of Internal Medicine. The authors rep...