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Reticulate, patchy and mottled pigmentation of the neck. Acquired forms
1Outpatient Clinic of Dermatology, Triemli Hospital, Zurich, Switzerland.
Summary
Acquired neck pigmentation, beyond inherited forms, stems from diverse causes like sun exposure, infections, and treatments. The neck
Area of Science:
- Dermatology
- Pathogenesis of Skin Pigmentation
Background:
- The neck is a common site for both inherited and acquired mottled and reticulate pigmentation.
- Numerous diseases and external factors can trigger acquired neck pigmentation, often linked to sun exposure.
Purpose of the Study:
- To review the diverse causes of acquired neck pigmentation.
- To highlight the diagnostic significance of neck pigmentation in various dermatological conditions.
Main Methods:
- Literature review of conditions causing acquired neck pigmentation.
- Categorization of pigmentary alterations based on etiology (sun-induced, infections, treatments, neoplasms, etc.).
Main Results:
- Sun exposure is a key factor, leading to conditions like berloque dermatitis and poikiloderma of Civatte.
- Infections (e.g., pediculosis capitis) and treatments (e.g., topical agents, laser) can cause irregular pigmentation.
- Neoplasms and systemic diseases (e.g., connective tissue diseases) are also implicated in neck pigmentation.
Conclusions:
- Acquired neck pigmentation has a broad differential diagnosis.
- The neck's accessibility makes it a valuable site for diagnosing various skin diseases.