Author/Authors :
Banihashemi, Mahnaz Cutaneous Leishmaniasis Research Center - Department of Dermatology - School of Medicine - Mashhad University of Medical Sciences, Mashhad , Fazel, Zahra Dermatologist - Private Practice, Mashhad , Tayyebi Meibodi, Naser Cutaneous Leishmaniasis Research Center - Department of Dermatology - School of Medicine - Mashhad University of Medical Sciences, Mashhad , Imani, Mohammad Cutaneous Leishmaniasis Research Center - Department of Dermatology - School of Medicine - Mashhad University of Medical Sciences, Mashhad , Zabolinejad, Naghmeh Cutaneous Leishmaniasis Research Center - Department of Dermatology - School of Medicine - Mashhad University of Medical Sciences, Mashhad
Abstract :
A 38- year-old man in good general health and normal intellectual functioning referred to the dermatologic clinic with numerous
pruritic reticulate pigmentations on his neck, chest and upper
back since 10 years ago. We noticed similar lesions on his axillae,
groin and infra mammary area with no family background. Upon
examination, symmetrical multiple small, rounds, dark brown
freckle -like macules on his flexural surfaces and pruritic papules
with a smooth surface on his chest were observed (Figure 1,2). Hair
and nail were normal. Potassium hydroxide smear was negative.
The patient was previously treated with topical hydroqinone,
tretinoin, adapalene and corticosteroids with no response. A
skin biopsy was preformed.
