Clinical and dermoscopic analysis of 32 cases of acquired facial hyperpigmented macules - Summary - MDSpire

Clinical and dermoscopic analysis of 32 cases of acquired facial hyperpigmented macules

  • By

  • Xiaoyi Chen

  • Yao Wu

  • Jing Xiao

  • Liansheng Zhong

  • June 16, 2026

  • 0 min

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Objective:

To investigate the clinical and dermoscopic features of acquired facial hyperpigmented macules (AFHM) and their significance in pediatric dermatology.

Approach:
    Key Findings:
    • Lesions are light brown macules, irregularly shaped, ranging from millet to peanut size, primarily located on the forehead and temples.
    • Major dermoscopic features include light brown pseudoreticular pigment and linear/branching vessels.
    • During follow-up, 96.4% of 28 patients showed complete disappearance of lesions.
    Interpretation:

    AFHM is characterized as a self-limited condition with a potential role of ultraviolet radiation in its etiology, highlighting the need for awareness in pediatric care.

    Limitations:
    • The study is retrospective and may have selection bias.
    • Limited sample size may affect the generalizability of findings.
    • Potential biases inherent in retrospective studies should be acknowledged.
    Conclusion:

    AFHM is a self-limited disease with a high rate of spontaneous resolution in young children, emphasizing the importance of monitoring and sun protection.

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