Hyperpigmented macules on the face of young children: a series of 25 cases.
J Am Acad Dermatol
; 70(2): 288-90, 2014 Feb.
Article
in En
| MEDLINE
| ID: mdl-24342755
ABSTRACT
BACKGROUND:
Acquired hyperpigmented lesions in early childhood can be the presenting sign of serious diseases or benign conditions and often cause significant parental anxiety.OBJECTIVE:
We sought to report a series of 25 young children with hyperpigmented macules on the forehead and temples without preceding erythema, edema, or desquamation.METHODS:
We conducted a retrospective review of 25 children with similar clinical findings, seen from 2009 to 2013, from 5 medical centers in 3 countries.RESULTS:
There were 13 boys and 12 girls of many races. Their ages ranged from 2 to 24 months (mean 12.2 months, median 6 months). The hyperpigmentation presented abruptly in the summer (12 cases), spring (5 cases), winter (5), and fall (2), and was not clearly specified in 1 case. Histopathologic analysis in 3 cases was consistent with postinflammatory hyperpigmentation. After a follow-up period ranging from 3 months to 4.5 years, the lesions persist to a variable degree in 19 cases in which follow-up was possible.LIMITATIONS:
The age of our patients precluded patch testing and/or invasive diagnostic methods.CONCLUSIONS:
The clinical features and prolonged clinical course over years do not correspond with any known or previously described cause of acquired facial hyperpigmented macules in young children.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Hyperpigmentation
/
Facial Dermatoses
Type of study:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Country/Region as subject:
America do norte
/
Europa
Language:
En
Journal:
J Am Acad Dermatol
Year:
2014
Type:
Article