PMC3573449_01
(a) Ashy gray-colored, confluent, symmetrical macules with polycyclic margins. (b) Lesions getting confluent with some areas being spared
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PMC3573449_01_IDOJ-4-30-g001.jpg
F1
Cutaneous examination revealed ashy gray-colored, confluent, symmetrical macules with polycyclic margins over almost the entire trunk, proximal upper limb, posterior neck, proximal thigh, forehead, and left upper eyelid [Figure 1a and b].
Vacuolar alteration of basal layer with mild to moderate infiltrate of lymphocyte to histiocyte intermixed with melanophages. (H and E, x100)
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PMC3573449_01_IDOJ-4-30-g002.jpg
F2
The skin biopsy showed focal vacuolar alteration of basal layer with mild to moderate infiltrate of lymphocytes and histiocytes intermixed with melanophages in the dermis, which was characteristic of ashy dermatosis and also lichen planus pigmentosus and other conditions with lichenoid histopathology [Figure 2].