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Year : 2011  |  Volume : 2  |  Issue : 2  |  Page : 101-103

Idiopathic eruptive macular pigmentation with papillomatosis

Department of Dermatology, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India

Correspondence Address:
Binod Kumar Thakur
Department of Dermatology, Sikkim Manipal Institute of Medical Sciences, 5th mile, Tadong, Gangtok, Sikkim
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2229-5178.86003

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We present a case of an otherwise healthy 10-year-old girl who presented with asymptomatic brown macules over the trunk and proximal extremities, of three months' duration. The cutaneous examination revealed multiple, dark brown, discrete, round to oval macules and a few mildly elevated lesions over the trunk and proximal limbs. The individual lesion was 1-3 cm in diameter and a few showed velvety appearance over the surface. Darier's sign was negative. The histopathological study from the velvety lesion showed acanthosis, papillomatosis and increased melanin in the basal layer. The upper dermis showed sparse perivascular infiltrate of lymphocytes without any dermal melanophages. It fulfilled the criteria for idiopathic eruptive macular pigmentation with additional histological finding of papillomatosis.

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