A Japanese Gentleman with Reticulate Pigmentation

Physical examination A reticulate hyperpigmented macular rash was present at the axillae, groins, extensor aspect of the upper limbs, buttocks, and thighs (Figure 1). Poikilodermatous changes were observed, with hypopigmented macules, epidermal atrophy and telangiectasia (Figure 2). Erythematous patches with epidermal atrophy were also seen, especially over the abdomen and chest (Figure 3). There were no mucosal lesions, palmar pits or nail dystrophy. No lymph nodes were palpable and hepatosplenomegaly was not detected.