PMC6831796_01
Localized dark macule on the left palm.
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PMC6831796_01_gr1.jpg
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Lesion, a 0.5-cm solitary well-circumscribed brown-black macule on the center of the palm, and pigmentation persisted for a year (Fig. 1).
Potassium hydroxide test revealed numerous pigmented short hyphae.
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PMC6831796_01_gr2.jpg
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Microscopy at 40x revealed multiple short hyphae surrounded by hyperpigmentation without budding yeast (Fig. 2).