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Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
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Updated: Jun 22, 2025

Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
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Extrafacial Acquired Dermal Melanocytosis: An Exceptionally Rare Example With Bilateral Multifocal Disease.

Umar A Hussain1, Kruti Gandhi2, Jamie A Tschen3

  • 1Histopathology, Manchester University National Health Service (NHS) Foundation Trust, Manchester, GBR.

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|July 1, 2024
PubMed
Summary

Acquired dermal melanocytosis (ADM) is rare, especially when it affects only extrafacial sites. This case report details an exceptionally rare instance of extensive, bilateral, purely extrafacial ADM in an adult female.

Keywords:
acquireddermal melanocytosiselastolysisextrafacialhori naevusmongolian spotmultifocal involvementnaevus of ota

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Area of Science:

  • Dermatology
  • Pathology

Background:

  • Dermal melanocytoses involve ectopic melanocytes in the dermis, with Mongolian spots being a common example.
  • Acquired dermal melanocytosis (ADM) presents later than typical congenital forms, often on the face.

Observation:

  • Purely extrafacial ADM is exceptionally rare and typically unifocal.
  • This report describes a unique case of extensive, bilateral, purely extrafacial ADM.

Findings:

  • The patient was a 44-year-old female of Filipino descent.
  • The presentation involved widespread extrafacial skin areas, differing from typical ADM patterns.

Implications:

  • This case expands the known clinical spectrum of acquired dermal melanocytosis.
  • Highlights the importance of considering rare presentations in dermatological diagnosis.