Dermatological examination revealed grayish, hyperpigmented, excoriated macules
and plaques on the back and occipital region, and mild hyperpigmentation on the upper chest.
The lesions appear as sharply demarcated macule
less than five millimeters in diameter.
3], more or less joined cephalad by rectangular pale blue macule
The hypopigmentation of the lesion varied from wheat colour to light brown macule
to wheat coloured plaques.
Whenever possible, ecoenvironments (surrounding terrain and home interior) of patients with typical macules
associated with the comet sign were investigated.
Detachment between 10% and 30% of the body surface area plus widespread purpuric macules
or flat atypical targets
are rectangular, rhomboid, or irregular in shape and usually have a symmetrical distribution.
Major Criteria Minor Criteria Facial angiofibromas or Multiple randomly distributed forehead plaque pits in dental enamel Ungual or periungual fibroma Hamartomatous rectal polyps (Non-traumatic) Bone cysts Hypomelanotic macules
(>3) Cerebral white matter Shagreen patch (connective migration tracts tissue naevus) Gingival fibromas Cortical tuber Nonrenalhamartoma Subependymal nodule Retinal achromic patch Subependymal giant cell astrocytoma Confetti skin lesions Multiple retinal nodular hamartomas Multiple renal cysts Cardiac rhabdomyoma, single or multiple Nonrenal hamartomas Pulomary lymphangiomyomatosis Renal angiomyolipoma.
These reports suggest that, "when evaluating a lesion of unknown history, an 8mm lightly pigmented macule
with symmetric variation in pigmentation--two of the four current ABCD features--is of less concern than a 3-mm, circular, evenly pigmented black macule
or papule with none of the four current ABCD criteria," he said.
The elementary cutaneous element was an erythematous macule
in 5 patients and maculopapules in 1.
Clinically, a typical angiosarcoma starts out as a bruiselike macule
that rapidly evolves into an erythematous patch, and then to a violaceous, ulcerated nodule or plaque.
1] An atypical presentation with wide spread asymptomatic hypo-pigmented macule
all over the body in a five year old child has been reported.